05D2303491 CLIA NUMBER - WALGREENS 09532

Laboratory Demographics

  • CLIA Code: 05D2303491
  • Facility Name: WALGREENS 09532
  • Facility Address: 4050 SUNRISE BLVD
    RANCHO CORDOVA, CA
    ZIP 95742
  • Facility Phone: 916 294-9566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBBIE Y. KAO
  • NPI Number: 1942434527
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303491
LAB Type Pharmacy
Facility Name WALGREENS 09532
Street 4050 SUNRISE BLVD
City RANCHO CORDOVA
State CA
ZIP 95742
Phone 916 294-9566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Pharmacy
Lab Director DEBBIE Y. KAO

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