05D2297590 CLIA NUMBER - WALGREENS 02939

Laboratory Demographics

  • CLIA Code: 05D2297590
  • Facility Name: WALGREENS 02939
  • Facility Address: 333 EL CAMINO REAL
    SAN BRUNO, CA
    ZIP 94066
  • Facility Phone: 650 737-5735
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANJAY PATEL
  • NPI Number: 1699780973
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2297590
LAB Type Pharmacy
Facility Name WALGREENS 02939
Street 333 EL CAMINO REAL
City SAN BRUNO
State CA
ZIP 94066
Phone 650 737-5735
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 SANJAY PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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