05D2297646 CLIA NUMBER - WALGREENS 03164

Laboratory Demographics

  • CLIA Code: 05D2297646
  • Facility Name: WALGREENS 03164
  • Facility Address: 1800 CONCORD AVE
    CONCORD, CA
    ZIP 94520
  • Facility Phone: 925 674-9477
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. KRISMAN
  • NPI Number: 1295740561
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297646
LAB Type Pharmacy
Facility Name WALGREENS 03164
Street 1800 CONCORD AVE
City CONCORD
State CA
ZIP 94520
Phone 925 674-9477
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 KIMBERLY A. KRISMAN

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