05D2297231 CLIA NUMBER - WALGREENS 01393

Laboratory Demographics

  • CLIA Code: 05D2297231
  • Facility Name: WALGREENS 01393
  • Facility Address: 1630 OCEAN AVE
    SAN FRANCISCO, CA
    ZIP 94112
  • Facility Phone: 415 239-0804
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHI H. NGUYEN
  • NPI Number: 1467467795
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297231
LAB Type Pharmacy
Facility Name WALGREENS 01393
Street 1630 OCEAN AVE
City SAN FRANCISCO
State CA
ZIP 94112
Phone 415 239-0804
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 CHI H. NGUYEN

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