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05D2297718 CLIA NUMBER - WALGREENS 04275

Laboratory Demographics

CLIA Number: 05D2297718

Facility Name: WALGREENS 04275

Facility Address:
456 MISSION ST
SAN FRANCISCO, CA
ZIP 94105
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Facility Phone Number: 415 348-9600

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1578578845

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 05D2297718
LAB Type Pharmacy
Facility Name WALGREENS 04275
Street 456 MISSION ST
City SAN FRANCISCO
State CA
ZIP 94105
Phone 415 348-9600
CertificateType 4
CertificateEffectiveDate 1/19/2024
CertificateExpirationDate 1/18/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024