05D2297586 CLIA NUMBER - WALGREENS 02810

Laboratory Demographics

  • CLIA Code: 05D2297586
  • Facility Name: WALGREENS 02810
  • Facility Address: 1810 FREEDOM BLVD
    FREEDOM, CA
    ZIP 95019
  • Facility Phone: 831 768-0183
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAI TRAN
  • NPI Number: 1386659670
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297586
LAB Type Pharmacy
Facility Name WALGREENS 02810
Street 1810 FREEDOM BLVD
City FREEDOM
State CA
ZIP 95019
Phone 831 768-0183
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 DAI TRAN

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