05D2297299 CLIA NUMBER - WALGREENS 02426

Laboratory Demographics

  • CLIA Code: 05D2297299
  • Facility Name: WALGREENS 02426
  • Facility Address: 15500 WASHINGTON AVE
    SAN LEANDRO, CA
    ZIP 94579
  • Facility Phone: 510 483-3917
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAITHAM SHAKER
  • NPI Number: 1972518256
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297299
LAB Type Pharmacy
Facility Name WALGREENS 02426
Street 15500 WASHINGTON AVE
City SAN LEANDRO
State CA
ZIP 94579
Phone 510 483-3917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Pharmacy
Lab Director MAITHAM SHAKER

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