05D2179589 CLIA NUMBER - WALGREENS VADEN

Laboratory Demographics

  • CLIA Code: 05D2179589
  • Facility Name: WALGREENS VADEN
  • Facility Address: 866 CAMPUS DRIVE
    PALO ALTO, CA
    ZIP 94305
  • Facility Phone: 650 815-2000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: POLLYANNA YEUNG
  • NPI Number: 1497218143
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2179589
LAB Type Pharmacy
Facility Name WALGREENS VADEN
Street 866 CAMPUS DRIVE
City PALO ALTO
State CA
ZIP 94305
Phone 650 815-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Pharmacy
Lab Director POLLYANNA YEUNG

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