05D2298744 CLIA NUMBER - WALGREENS 02152

Laboratory Demographics

CLIA Number: 05D2298744

Facility Name: WALGREENS 02152

Facility Address:
1899 FILLMORE ST
SAN FRANCISCO, CA
ZIP 94115
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Facility Phone Number: 415 771-4603

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417962788

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	05D2298744
LAB Type	Pharmacy
Facility Name	WALGREENS 02152
Street	1899 FILLMORE ST
City	SAN FRANCISCO
State	CA
ZIP	94115
Phone	415 771-4603
CertificateType	4
CertificateEffectiveDate	2/7/2024
CertificateExpirationDate	2/6/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024