05D2297531 CLIA NUMBER - WALGREENS 01807

Laboratory Demographics

  • CLIA Code: 05D2297531
  • Facility Name: WALGREENS 01807
  • Facility Address: 22 SAN PEDRO
    DALY CITY, CA
    ZIP 94014
  • Facility Phone: 650 756-3412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HARIS SATTARI
  • NPI Number: 1871508101
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297531
LAB Type Pharmacy
Facility Name WALGREENS 01807
Street 22 SAN PEDRO
City DALY CITY
State CA
ZIP 94014
Phone 650 756-3412
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 HARIS SATTARI

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