05D2256673 CLIA NUMBER - WALGREENS #15397

Laboratory Demographics

  • CLIA Code: 05D2256673
  • Facility Name: WALGREENS #15397
  • Facility Address: 2238 WESTBOROUGH BOULEVARD
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Facility Phone: 650 873-0551
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANITA CHUI
  • NPI Number: 1043225311
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2256673
LAB Type Pharmacy
Facility Name WALGREENS #15397
Street 2238 WESTBOROUGH BOULEVARD
City SOUTH SAN FRANCISCO
State CA
ZIP 94080
Phone 650 873-0551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director ANITA CHUI

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