05D2297861 CLIA NUMBER - WALGREENS 04609

Laboratory Demographics

  • CLIA Code: 05D2297861
  • Facility Name: WALGREENS 04609
  • Facility Address: 1301 MARKET ST
    SAN FRANCISCO, CA
    ZIP 94103
  • Facility Phone: 415 861-4010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN LI
  • NPI Number: 1104831478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297861
LAB Type Pharmacy
Facility Name WALGREENS 04609
Street 1301 MARKET ST
City SAN FRANCISCO
State CA
ZIP 94103
Phone 415 861-4010
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 KEVIN LI

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This page was last updated on: 6/4/2025