05D2297596 CLIA NUMBER - WALGREENS 02506

Laboratory Demographics

  • CLIA Code: 05D2297596
  • Facility Name: WALGREENS 02506
  • Facility Address: 1150 MACDONALD AVE
    RICHMOND, CA
    ZIP 94801
  • Facility Phone: 510 236-5748
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMOL TALWAR
  • NPI Number: 1235144510
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297596
LAB Type Pharmacy
Facility Name WALGREENS 02506
Street 1150 MACDONALD AVE
City RICHMOND
State CA
ZIP 94801
Phone 510 236-5748
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 AMOL TALWAR

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