05D2297232 CLIA NUMBER - WALGREENS 01403

Laboratory Demographics

  • CLIA Code: 05D2297232
  • Facility Name: WALGREENS 01403
  • Facility Address: 3201 DIVISADERO ST
    SAN FRANCISCO, CA
    ZIP 94123
  • Facility Phone: 415 931-6417
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA E. WOO
  • NPI Number: 1831104165
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297232
LAB Type Pharmacy
Facility Name WALGREENS 01403
Street 3201 DIVISADERO ST
City SAN FRANCISCO
State CA
ZIP 94123
Phone 415 931-6417
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 SAMANTHA E. WOO

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