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05D2297836 CLIA NUMBER - WALGREENS 04231

Laboratory Demographics

CLIA Number: 05D2297836

Facility Name: WALGREENS 04231

Facility Address:
2690 MISSION ST
SAN FRANCISCO, CA
ZIP 94110
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Facility Phone Number: 415 285-1576

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1154337525

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 05D2297836
LAB Type Pharmacy
Facility Name WALGREENS 04231
Street 2690 MISSION ST
City SAN FRANCISCO
State CA
ZIP 94110
Phone 415 285-1576
CertificateType 4
CertificateEffectiveDate 1/23/2024
CertificateExpirationDate 1/22/2026
FacilityType Waiver

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