05D2064213 CLIA NUMBER - WALGREENS # 1537

Laboratory Demographics

  • CLIA Code: 05D2064213
  • Facility Name: WALGREENS # 1537
  • Facility Address: 3232 FOOTHILL BLVD
    OAKLAND, CA
    ZIP 94601
  • Facility Phone: 510 261-4552
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY J. BOUNTHON, PIC
  • NPI Number: 1427063759
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2064213
LAB Type Pharmacy
Facility Name WALGREENS # 1537
Street 3232 FOOTHILL BLVD
City OAKLAND
State CA
ZIP 94601
Phone 510 261-4552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director ASHLEY J. BOUNTHON, PIC

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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