05D2297718 CLIA NUMBER - WALGREENS 04275

Laboratory Demographics

  • CLIA Code: 05D2297718
  • Facility Name: WALGREENS 04275
  • Facility Address: 456 MISSION ST
    SAN FRANCISCO, CA
    ZIP 94105
  • Facility Phone: 415 348-9600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WEN-HUI LIU
  • NPI Number: 1578578845
  • Taxonomy: 333600000X - Pharmacy

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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
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 WEN-HUI LIU

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