05D2296825 CLIA NUMBER - WALGREENS 01241

Laboratory Demographics

CLIA Number: 05D2296825

Facility Name: WALGREENS 01241

Facility Address:
1201 TARAVAL ST
SAN FRANCISCO, CA
ZIP 94116
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Facility Phone Number: 415 753-1305

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1821004490

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	05D2296825
LAB Type	Pharmacy
Facility Name	WALGREENS 01241
Street	1201 TARAVAL ST
City	SAN FRANCISCO
State	CA
ZIP	94116
Phone	415 753-1305
CertificateType	4
CertificateEffectiveDate	1/5/2024
CertificateExpirationDate	1/4/2026
FacilityType	Waiver

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