05D2297707 CLIA NUMBER - WALGREENS 03158

Laboratory Demographics

  • CLIA Code: 05D2297707
  • Facility Name: WALGREENS 03158
  • Facility Address: 1718 SOQUEL AVE
    SANTA CRUZ, CA
    ZIP 95062
  • Facility Phone: 831 425-3911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERRICK CRAVEN
  • NPI Number: 1033124318
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297707
LAB Type Pharmacy
Facility Name WALGREENS 03158
Street 1718 SOQUEL AVE
City SANTA CRUZ
State CA
ZIP 95062
Phone 831 425-3911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Pharmacy
Lab Director ERRICK CRAVEN

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