05D2297478 CLIA NUMBER - WALGREENS 03380

Laboratory Demographics

  • CLIA Code: 05D2297478
  • Facility Name: WALGREENS 03380
  • Facility Address: 1306 S MARY AVE
    SUNNYVALE, CA
    ZIP 94087
  • Facility Phone: 408 732-2729
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIA NGUYEN
  • NPI Number: 1770599334
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297478
LAB Type Pharmacy
Facility Name WALGREENS 03380
Street 1306 S MARY AVE
City SUNNYVALE
State CA
ZIP 94087
Phone 408 732-2729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Pharmacy
Lab Director JULIA NGUYEN

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