05D2297859 CLIA NUMBER - WALGREENS 04570

Laboratory Demographics

CLIA Number: 05D2297859

Facility Name: WALGREENS 04570

Facility Address:
3001 TARAVAL ST
SAN FRANCISCO, CA
ZIP 94116
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Facility Phone Number: 415 759-0572

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1699780965

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	05D2297859
LAB Type	Pharmacy
Facility Name	WALGREENS 04570
Street	3001 TARAVAL ST
City	SAN FRANCISCO
State	CA
ZIP	94116
Phone	415 759-0572
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