05D2297614 CLIA NUMBER - WALGREENS 02705

Laboratory Demographics

  • CLIA Code: 05D2297614
  • Facility Name: WALGREENS 02705
  • Facility Address: 2050 IRVING ST
    SAN FRANCISCO, CA
    ZIP 94122
  • Facility Phone: 415 664-4215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HELEN H. WAN
  • NPI Number: 1932115508
  • Taxonomy: 333600000X - Pharmacy

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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
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 HELEN H. WAN

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