05D2298004 CLIA NUMBER - WALGREENS 03475

Laboratory Demographics

CLIA Number: 05D2298004

Facility Name: WALGREENS 03475

Facility Address:
25 POINT LOBOS AVE
SAN FRANCISCO, CA
ZIP 94121
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Facility Phone Number: 415 386-0736

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1891700167

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	05D2298004
LAB Type	Pharmacy
Facility Name	WALGREENS 03475
Street	25 POINT LOBOS AVE
City	SAN FRANCISCO
State	CA
ZIP	94121
Phone	415 386-0736
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