05D2299154 CLIA NUMBER - WALGREENS 07210

Laboratory Demographics

  • CLIA Code: 05D2299154
  • Facility Name: WALGREENS 07210
  • Facility Address: 8005 EL CAMINO REAL
    ATASCADERO, CA
    ZIP 93422
  • Facility Phone: 805 462-9272
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM R. BAUMHEFNER
  • NPI Number: 1114932209
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299154
LAB Type Pharmacy
Facility Name WALGREENS 07210
Street 8005 EL CAMINO REAL
City ATASCADERO
State CA
ZIP 93422
Phone 805 462-9272
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 ADAM R. BAUMHEFNER

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