05D2296805 CLIA NUMBER - WALGREENS 00893

Laboratory Demographics

  • CLIA Code: 05D2296805
  • Facility Name: WALGREENS 00893
  • Facility Address: 1344 STOCKTON ST
    SAN FRANCISCO, CA
    ZIP 94133
  • Facility Phone: 415 981-6274
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SIMON K. KUANG
  • NPI Number: 1811903461
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2296805
LAB Type Pharmacy
Facility Name WALGREENS 00893
Street 1344 STOCKTON ST
City SAN FRANCISCO
State CA
ZIP 94133
Phone 415 981-6274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Pharmacy
Lab Director SIMON K. KUANG

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