05D2298002 CLIA NUMBER - WALGREENS 03185

Laboratory Demographics

CLIA Number: 05D2298002

Facility Name: WALGREENS 03185

Facility Address:
825 MARKET ST
SAN FRANCISCO, CA
ZIP 94103
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Facility Phone Number: 415 543-9502

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1639185283

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	05D2298002
LAB Type	Pharmacy
Facility Name	WALGREENS 03185
Street	825 MARKET ST
City	SAN FRANCISCO
State	CA
ZIP	94103
Phone	415 543-9502
CertificateType	4
CertificateEffectiveDate	1/25/2024
CertificateExpirationDate	1/24/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024