05D2298005 CLIA NUMBER - WALGREENS 03711

Laboratory Demographics

  • CLIA Code: 05D2298005
  • Facility Name: WALGREENS 03711
  • Facility Address: 1189 POTRERO AVE
    SAN FRANCISCO, CA
    ZIP 94110
  • Facility Phone: 415 647-1397
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOEL ALEGRIA
  • NPI Number: 1841206414
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298005
LAB Type Pharmacy
Facility Name WALGREENS 03711
Street 1189 POTRERO AVE
City SAN FRANCISCO
State CA
ZIP 94110
Phone 415 647-1397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director JOEL ALEGRIA

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