05D2304193 CLIA NUMBER - WALGREENS 05501

Laboratory Demographics

  • CLIA Code: 05D2304193
  • Facility Name: WALGREENS 05501
  • Facility Address: 3999 FOOTHILLS BLVD
    ROSEVILLE, CA
    ZIP 95747
  • Facility Phone: 916 788-0890
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEHUA OSBORNE
  • NPI Number: 1669487948
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304193
LAB Type Pharmacy
Facility Name WALGREENS 05501
Street 3999 FOOTHILLS BLVD
City ROSEVILLE
State CA
ZIP 95747
Phone 916 788-0890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Pharmacy
Lab Director LEHUA OSBORNE

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