05D2297573 CLIA NUMBER - WALGREENS 02306

Laboratory Demographics

  • CLIA Code: 05D2297573
  • Facility Name: WALGREENS 02306
  • Facility Address: 1138 W TENNYSON RD
    HAYWARD, CA
    ZIP 94544
  • Facility Phone: 510 293-9031
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOANG YEN T. TU
  • NPI Number: 1487669727
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297573
LAB Type Pharmacy
Facility Name WALGREENS 02306
Street 1138 W TENNYSON RD
City HAYWARD
State CA
ZIP 94544
Phone 510 293-9031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director HOANG YEN T. TU

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