05D2297005 CLIA NUMBER - WALGREENS 00840

Laboratory Demographics

  • CLIA Code: 05D2297005
  • Facility Name: WALGREENS 00840
  • Facility Address: 1334 SARATOGA AVE
    SAN JOSE, CA
    ZIP 95129
  • Facility Phone: 408 249-7333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER TOLENTINO
  • NPI Number: 1346255619
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297005
LAB Type Pharmacy
Facility Name WALGREENS 00840
Street 1334 SARATOGA AVE
City SAN JOSE
State CA
ZIP 95129
Phone 408 249-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Pharmacy
Lab Director JENNIFER TOLENTINO

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