05D2295562 CLIA NUMBER - WALGREENS 02866

Laboratory Demographics

  • CLIA Code: 05D2295562
  • Facility Name: WALGREENS 02866
  • Facility Address: 1363 DIVISADERO ST
    SAN FRANCISCO, CA
    ZIP 94115
  • Facility Phone: 415 931-9974
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARILYN MCENTEE
  • NPI Number: 1588670954
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295562
LAB Type Pharmacy
Facility Name WALGREENS 02866
Street 1363 DIVISADERO ST
City SAN FRANCISCO
State CA
ZIP 94115
Phone 415 931-9974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director MARILYN MCENTEE

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