05D2295180 CLIA NUMBER - WALGREENS 02560

Laboratory Demographics

  • CLIA Code: 05D2295180
  • Facility Name: WALGREENS 02560
  • Facility Address: 611 SAN RAMON VALLEY BLVD
    DANVILLE, CA
    ZIP 94526
  • Facility Phone: 925 743-0166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEHNAZ AGHIGHI
  • NPI Number: 1437164704
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295180
LAB Type Pharmacy
Facility Name WALGREENS 02560
Street 611 SAN RAMON VALLEY BLVD
City DANVILLE
State CA
ZIP 94526
Phone 925 743-0166
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 BEHNAZ AGHIGHI

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