05D2063531 CLIA NUMBER - WALGREENS #09248

Laboratory Demographics

  • CLIA Code: 05D2063531
  • Facility Name: WALGREENS #09248
  • Facility Address: 2300 OTIS DR
    ALAMEDA, CA
    ZIP 94501
  • Facility Phone: 510 523-7043
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEILING ZHANG
  • NPI Number: 1326053695
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2063531
LAB Type Pharmacy
Facility Name WALGREENS #09248
Street 2300 OTIS DR
City ALAMEDA
State CA
ZIP 94501
Phone 510 523-7043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director MEILING ZHANG

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