05D2297849 CLIA NUMBER - WALGREENS 04372

Laboratory Demographics

  • CLIA Code: 05D2297849
  • Facility Name: WALGREENS 04372
  • Facility Address: 780 E SANTA CLARA ST
    SAN JOSE, CA
    ZIP 95112
  • Facility Phone: 408 287-0600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TU HOA T. TRAN
  • NPI Number: 1417962796
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297849
LAB Type Pharmacy
Facility Name WALGREENS 04372
Street 780 E SANTA CLARA ST
City SAN JOSE
State CA
ZIP 95112
Phone 408 287-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Pharmacy
Lab Director TU HOA T. TRAN

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