05D2299150 CLIA NUMBER - WALGREENS 07150

Laboratory Demographics

CLIA Number: 05D2299150

Facility Name: WALGREENS 07150

Facility Address:
965 GENEVA AVE
SAN FRANCISCO, CA
ZIP 94112
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Facility Phone Number: 415 841-0507

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1336156330

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	05D2299150
LAB Type	Pharmacy
Facility Name	WALGREENS 07150
Street	965 GENEVA AVE
City	SAN FRANCISCO
State	CA
ZIP	94112
Phone	415 841-0507
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

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