05D2295953 CLIA NUMBER - WALGREENS 00900

Laboratory Demographics

  • CLIA Code: 05D2295953
  • Facility Name: WALGREENS 00900
  • Facility Address: 2105 MORRILL AVE
    SAN JOSE, CA
    ZIP 95132
  • Facility Phone: 408 263-5550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BICH T. NGUYEN
  • NPI Number: 1700891074
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295953
LAB Type Pharmacy
Facility Name WALGREENS 00900
Street 2105 MORRILL AVE
City SAN JOSE
State CA
ZIP 95132
Phone 408 263-5550
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 BICH T. NGUYEN

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