05D2297164 CLIA NUMBER - WALGREENS 01109

Laboratory Demographics

  • CLIA Code: 05D2297164
  • Facility Name: WALGREENS 01109
  • Facility Address: 5260 DIAMOND HEIGHTS BLVD
    SAN FRANCISCO, CA
    ZIP 94131
  • Facility Phone: 415 695-2808
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANNY WU
  • NPI Number: 1124033220
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297164
LAB Type Pharmacy
Facility Name WALGREENS 01109
Street 5260 DIAMOND HEIGHTS BLVD
City SAN FRANCISCO
State CA
ZIP 94131
Phone 415 695-2808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director DANNY WU

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