05D2305144 CLIA NUMBER - WALGREENS 05846

Laboratory Demographics

  • CLIA Code: 05D2305144
  • Facility Name: WALGREENS 05846
  • Facility Address: 721 GREGORY LN
    SACRAMENTO, CA
    ZIP 94253
  • Facility Phone: 925 944-1592
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL C. YANG
  • NPI Number: 1679588768
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2305144
LAB Type Pharmacy
Facility Name WALGREENS 05846
Street 721 GREGORY LN
City SACRAMENTO
State CA
ZIP 94253
Phone 925 944-1592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Pharmacy
Lab Director MICHAEL C. YANG

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