CLIA lab
CLIA 05D2296734: Walgreens 04198
West Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2296734 belongs to Walgreens 04198 in West Sacramento, CA.
Certificate of Waiver, effective January 4, 2026, expires January 3, 2028.
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
- January 4, 2026
- Certificate expiration
- January 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 2024
- 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
- 05D2296734
- Lab name
- Walgreens 04198
- Address
- 1351 W Capitol Ave, West Sacramento, CA 95691
- Phone
- (916) 371-3801
- Fax
- (916) 391-8401
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 04198 in West Sacramento?
05D2296734, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 04198 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2296734 expire?
The CMS file lists January 3, 2028 as the certificate expiration date; the certificate took effect January 4, 2026.