05D2298007 CLIA NUMBER - WALGREENS 03770

Laboratory Demographics

  • CLIA Code: 05D2298007
  • Facility Name: WALGREENS 03770
  • Facility Address: 11565 SAN PABLO AVE
    EL CERRITO, CA
    ZIP 94530
  • Facility Phone: 510 234-9300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEANDREA SHAVERDS
  • NPI Number: 1588679856
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298007
LAB Type Pharmacy
Facility Name WALGREENS 03770
Street 11565 SAN PABLO AVE
City EL CERRITO
State CA
ZIP 94530
Phone 510 234-9300
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 DEANDREA SHAVERDS

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