05D2299150 CLIA NUMBER - WALGREENS 07150

Laboratory Demographics

  • CLIA Code: 05D2299150
  • Facility Name: WALGREENS 07150
  • Facility Address: 965 GENEVA AVE
    SAN FRANCISCO, CA
    ZIP 94112
  • Facility Phone: 415 841-0507
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DERRICK CHAN
  • NPI Number: 1336156330
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Pharmacy
Lab Director DERRICK CHAN

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This page was last updated on: 3/20/2025