05D2297861 CLIA NUMBER - WALGREENS 04609

Laboratory Demographics

CLIA Number: 05D2297861

Facility Name: WALGREENS 04609

Facility Address:
1301 MARKET ST
SAN FRANCISCO, CA
ZIP 94103
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Facility Phone Number: 415 861-4010

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1104831478

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