05D2297715 CLIA NUMBER - WALGREENS 03624

Laboratory Demographics

  • CLIA Code: 05D2297715
  • Facility Name: WALGREENS 03624
  • Facility Address: 275 SACRAMENTO ST
    SAN FRANCISCO, CA
    ZIP 94111
  • Facility Phone: 415 362-5227
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACIE LOW
  • NPI Number: 1396751798
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297715
LAB Type Pharmacy
Facility Name WALGREENS 03624
Street 275 SACRAMENTO ST
City SAN FRANCISCO
State CA
ZIP 94111
Phone 415 362-5227
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 STACIE LOW

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