CLIA lab

CLIA 05D2307671: Walgreens 11365

American Canyon, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2307671 belongs to Walgreens 11365 in American Canyon, CA.

Certificate of Waiver, effective July 12, 2026, expires July 11, 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
July 12, 2026
Certificate expiration
July 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 12, 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
05D2307671
Lab name
Walgreens 11365
Address
210 American Canyon Rd, American Canyon, CA 94503
Phone
(707) 557-0103
Fax
(707) 557-0113

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 American Canyon, CA

Related

Questions

What is the CLIA number for Walgreens 11365 in American Canyon?

05D2307671, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens 11365 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2307671 expire?

The CMS file lists July 11, 2028 as the certificate expiration date; the certificate took effect July 12, 2026.

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