05D2295163 CLIA NUMBER - WALGREENS 00324

Laboratory Demographics

  • CLIA Code: 05D2295163
  • Facility Name: WALGREENS 00324
  • Facility Address: 216 WESTLAKE CENTER
    DALY CITY, CA
    ZIP 94015
  • Facility Phone: 650 756-4535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY DENG
  • NPI Number: 1144235417
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295163
LAB Type Pharmacy
Facility Name WALGREENS 00324
Street 216 WESTLAKE CENTER
City DALY CITY
State CA
ZIP 94015
Phone 650 756-4535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director KIMBERLY DENG

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