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05D2296737 CLIA NUMBER - WALGREENS 04529

Laboratory Demographics

CLIA Number: 05D2296737

Facility Name: WALGREENS 04529

Facility Address:
2145 MARKET ST
SAN FRANCISCO, CA
ZIP 94114
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Facility Phone Number: 405 355-0800

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1881967180

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 05D2296737
LAB Type Pharmacy
Facility Name WALGREENS 04529
Street 2145 MARKET ST
City SAN FRANCISCO
State CA
ZIP 94114
Phone 405 355-0800
CertificateType 4
CertificateEffectiveDate 1/4/2024
CertificateExpirationDate 1/3/2026
FacilityType Waiver

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