05D2295564 CLIA NUMBER - WALGREENS 02867

Laboratory Demographics

  • CLIA Code: 05D2295564
  • Facility Name: WALGREENS 02867
  • Facility Address: 1055 FREMONT BLVD
    SEASIDE, CA
    ZIP 93955
  • Facility Phone: 831 393-9231
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEUNGYONG YANG
  • NPI Number: 1396750683
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295564
LAB Type Pharmacy
Facility Name WALGREENS 02867
Street 1055 FREMONT BLVD
City SEASIDE
State CA
ZIP 93955
Phone 831 393-9231
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 SEUNGYONG YANG

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