05D2302159 CLIA NUMBER - WALGREENS 12840

Laboratory Demographics

  • CLIA Code: 05D2302159
  • Facility Name: WALGREENS 12840
  • Facility Address: 8230 SARATOGA WAY
    EL DORADO HILLS, CA
    ZIP 95762
  • Facility Phone: 916 939-6439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANI VERRIOS
  • NPI Number: 1013203710
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302159
LAB Type Pharmacy
Facility Name WALGREENS 12840
Street 8230 SARATOGA WAY
City EL DORADO HILLS
State CA
ZIP 95762
Phone 916 939-6439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Pharmacy
Lab Director ANI VERRIOS

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This page was last updated on: 9/29/2025