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05D2233455 CLIA NUMBER - WALGREENS #03344

Laboratory Demographics

CLIA Number: 05D2233455

Facility Name: WALGREENS #03344

Facility Address:
4170 EL CAMINO REAL
PALO ALTO, CA
ZIP 94306
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Facility Phone Number: 650 858-2007

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1780690347

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 05D2233455
LAB Type Pharmacy
Facility Name WALGREENS #03344
Street 4170 EL CAMINO REAL
City PALO ALTO
State CA
ZIP 94306
Phone 650 858-2007
CertificateType 4
CertificateEffectiveDate 8/24/2023
CertificateExpirationDate 8/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024