05D2297614 CLIA NUMBER - WALGREENS 02705

Laboratory Demographics

CLIA Number: 05D2297614

Facility Name: WALGREENS 02705

Facility Address:
2050 IRVING ST
SAN FRANCISCO, CA
ZIP 94122
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Facility Phone Number: 415 664-4215

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932115508

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	05D2297614
LAB Type	Pharmacy
Facility Name	WALGREENS 02705
Street	2050 IRVING ST
City	SAN FRANCISCO
State	CA
ZIP	94122
Phone	415 664-4215
CertificateType	4
CertificateEffectiveDate	1/18/2024
CertificateExpirationDate	1/17/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024