05D2061627 CLIA NUMBER - WALGREENS #03671

Laboratory Demographics

  • CLIA Code: 05D2061627
  • Facility Name: WALGREENS #03671
  • Facility Address: 342 W CALAVERAS BLVD
    MILPITAS, CA
    ZIP 95035
  • Facility Phone: 408 263-3963
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THAO DUYEN NGUYEN
  • NPI Number: 1386650950
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2061627
LAB Type Pharmacy
Facility Name WALGREENS #03671
Street 342 W CALAVERAS BLVD
City MILPITAS
State CA
ZIP 95035
Phone 408 263-3963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Pharmacy
Lab Director THAO DUYEN NGUYEN

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