05D2297645 CLIA NUMBER - WALGREENS 02740

Laboratory Demographics

  • CLIA Code: 05D2297645
  • Facility Name: WALGREENS 02740
  • Facility Address: 3460 EL CAMINO REAL
    SANTA CLARA, CA
    ZIP 95051
  • Facility Phone: 408 261-1047
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL M. AFZALI
  • NPI Number: 1063427359
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2297645
LAB Type Pharmacy
Facility Name WALGREENS 02740
Street 3460 EL CAMINO REAL
City SANTA CLARA
State CA
ZIP 95051
Phone 408 261-1047
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 DANIEL M. AFZALI

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