05D2298006 CLIA NUMBER - WALGREENS 03754

Laboratory Demographics

  • CLIA Code: 05D2298006
  • Facility Name: WALGREENS 03754
  • Facility Address: 1399 W SAN CARLOS ST
    SAN JOSE, CA
    ZIP 95126
  • Facility Phone: 408 971-3098
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THAO TRAN
  • NPI Number: 1316952690
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298006
LAB Type Pharmacy
Facility Name WALGREENS 03754
Street 1399 W SAN CARLOS ST
City SAN JOSE
State CA
ZIP 95126
Phone 408 971-3098
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 THAO TRAN

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