05D2307269 CLIA NUMBER - WALGREENS 05152

Laboratory Demographics

  • CLIA Code: 05D2307269
  • Facility Name: WALGREENS 05152
  • Facility Address: 6144 DEWEY DR
    CITRUS HEIGHTS, CA
    ZIP 95621
  • Facility Phone: 916 723-4118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SONTUNG T. TANG
  • NPI Number: 1306851688
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307269
LAB Type Pharmacy
Facility Name WALGREENS 05152
Street 6144 DEWEY DR
City CITRUS HEIGHTS
State CA
ZIP 95621
Phone 916 723-4118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Pharmacy
Lab Director SONTUNG T. TANG

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