05D2297859 CLIA NUMBER - WALGREENS 04570

Laboratory Demographics

  • CLIA Code: 05D2297859
  • Facility Name: WALGREENS 04570
  • Facility Address: 3001 TARAVAL ST
    SAN FRANCISCO, CA
    ZIP 94116
  • Facility Phone: 415 759-0572
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEUNG P. LAI
  • NPI Number: 1699780965
  • Taxonomy: 333600000X - Pharmacy

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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
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 HEUNG P. LAI

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