CLIA lab
CLIA 05D2302141: Walgreens 12528
Sutter Creek, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2302141 belongs to Walgreens 12528 in Sutter Creek, CA.
Certificate of Waiver, effective April 4, 2026, expires April 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
- April 4, 2026
- Certificate expiration
- April 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 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
- 05D2302141
- Lab name
- Walgreens 12528
- Address
- 475 State Highway 49, Sutter Creek, CA 95685
- Phone
- (209) 267-5128
- Fax
- (209) 267-9146
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.
Other labs in Sutter Creek, CA
Related
Questions
What is the CLIA number for Walgreens 12528 in Sutter Creek?
05D2302141, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 12528 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2302141 expire?
The CMS file lists April 3, 2028 as the certificate expiration date; the certificate took effect April 4, 2026.