05D2295181 CLIA NUMBER - WALGREENS 02401

Laboratory Demographics

  • CLIA Code: 05D2295181
  • Facility Name: WALGREENS 02401
  • Facility Address: 21463 FOOTHILL BLVD
    HAYWARD, CA
    ZIP 94541
  • Facility Phone: 510 538-2745
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY MACH
  • NPI Number: 1750397303
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2295181
LAB Type Pharmacy
Facility Name WALGREENS 02401
Street 21463 FOOTHILL BLVD
City HAYWARD
State CA
ZIP 94541
Phone 510 538-2745
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 JEFFREY MACH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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