05D2296293 CLIA NUMBER - WALGREENS 00896

Laboratory Demographics

CLIA Number: 05D2296293

Facility Name: WALGREENS 00896

Facility Address:
3601 CALIFORNIA ST
SAN FRANCISCO, CA
ZIP 94118
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Facility Phone Number: 415 668-5202

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548276199

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	05D2296293
LAB Type	Pharmacy
Facility Name	WALGREENS 00896
Street	3601 CALIFORNIA ST
City	SAN FRANCISCO
State	CA
ZIP	94118
Phone	415 668-5202
CertificateType	4
CertificateEffectiveDate	12/27/2023
CertificateExpirationDate	12/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024