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05D2295162 CLIA NUMBER - WALGREENS #00890

Laboratory Demographics

CLIA Number: 05D2295162

Facility Name: WALGREENS #00890

Facility Address:
135 POWELL ST
SAN FRANCISCO, CA
ZIP 94102
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Facility Phone Number: 415 391-7222

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1134135502

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 05D2295162
LAB Type Pharmacy
Facility Name WALGREENS #00890
Street 135 POWELL ST
City SAN FRANCISCO
State CA
ZIP 94102
Phone 415 391-7222
CertificateType 4
CertificateEffectiveDate 12/6/2023
CertificateExpirationDate 12/5/2025
FacilityType Waiver

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