05D2298530 CLIA NUMBER - WALGREENS 03171

Laboratory Demographics

  • CLIA Code: 05D2298530
  • Facility Name: WALGREENS 03171
  • Facility Address: 1050 REDWOOD ST
    VALLEJO, CA
    ZIP 94590
  • Facility Phone: 707 557-6948
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE GALAY
  • NPI Number: 1023023306
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298530
LAB Type Pharmacy
Facility Name WALGREENS 03171
Street 1050 REDWOOD ST
City VALLEJO
State CA
ZIP 94590
Phone 707 557-6948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Pharmacy
Lab Director NICOLE GALAY

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