CLIA lab
CLIA 05D2295553: Walgreens 04107
Woodland, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2295553 belongs to Walgreens 04107 in Woodland, CA.
Certificate of Waiver, effective December 13, 2025, expires December 12, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 13, 2025
- Certificate expiration
- December 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2023
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2295553
- Lab name
- Walgreens 04107
- Address
- 10 W Main St, Woodland, CA 95695
- Phone
- (530) 668-8589
- Fax
- (530) 668-8866
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Walgreens 04107 in Woodland?
05D2295553, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 04107 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2295553 expire?
The CMS file lists December 12, 2027 as the certificate expiration date; the certificate took effect December 13, 2025.