05D2295086 CLIA NUMBER - WALGREENS 02384

Laboratory Demographics

  • CLIA Code: 05D2295086
  • Facility Name: WALGREENS 02384
  • Facility Address: 2680 UNION AVE
    SAN JOSE, CA
    ZIP 95124
  • Facility Phone: 408 371-5426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KULBIR K. SAHOTA
  • NPI Number: 1083629356
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295086
LAB Type Pharmacy
Facility Name WALGREENS 02384
Street 2680 UNION AVE
City SAN JOSE
State CA
ZIP 95124
Phone 408 371-5426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Pharmacy
Lab Director KULBIR K. SAHOTA

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