05D2297530 CLIA NUMBER - WALGREENS 01625

Laboratory Demographics

  • CLIA Code: 05D2297530
  • Facility Name: WALGREENS 01625
  • Facility Address: 5055 TELEGRAPH AVE
    OAKLAND, CA
    ZIP 94609
  • Facility Phone: 510 595-3605
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IAN P. HONG
  • NPI Number: 1861408429
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297530
LAB Type Pharmacy
Facility Name WALGREENS 01625
Street 5055 TELEGRAPH AVE
City OAKLAND
State CA
ZIP 94609
Phone 510 595-3605
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 IAN P. HONG

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