05D2295952 CLIA NUMBER - WALGREENS 01054

Laboratory Demographics

  • CLIA Code: 05D2295952
  • Facility Name: WALGREENS 01054
  • Facility Address: 3398 MISSION ST
    SAN FRANCISCO, CA
    ZIP 94110
  • Facility Phone: 415 824-6886
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BIGA E. BRIAN
  • NPI Number: 1336154665
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295952
LAB Type Pharmacy
Facility Name WALGREENS 01054
Street 3398 MISSION ST
City SAN FRANCISCO
State CA
ZIP 94110
Phone 415 824-6886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Pharmacy
Lab Director BIGA E. BRIAN

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