05D2064212 CLIA NUMBER - WALGREENS #04026

Laboratory Demographics

  • CLIA Code: 05D2064212
  • Facility Name: WALGREENS #04026
  • Facility Address: 2900 N MAIN ST
    WALNUT CREEK, CA
    ZIP 94597
  • Facility Phone: 925 933-0307
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LWAM Y. ABRAHA
  • NPI Number: 1386659662
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2064212
LAB Type Pharmacy
Facility Name WALGREENS #04026
Street 2900 N MAIN ST
City WALNUT CREEK
State CA
ZIP 94597
Phone 925 933-0307
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 LWAM Y. ABRAHA

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