05D2298607 CLIA NUMBER - WALGREENS 05454

Laboratory Demographics

  • CLIA Code: 05D2298607
  • Facility Name: WALGREENS 05454
  • Facility Address: 1661 MCKEE RD
    SAN JOSE, CA
    ZIP 95116
  • Facility Phone: 408 347-1404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PARVINDER S. JUDGE
  • NPI Number: 1730194010
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298607
LAB Type Pharmacy
Facility Name WALGREENS 05454
Street 1661 MCKEE RD
City SAN JOSE
State CA
ZIP 95116
Phone 408 347-1404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director PARVINDER S. JUDGE

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