05D2299582 CLIA NUMBER - WALGREENS 07043

Laboratory Demographics

  • CLIA Code: 05D2299582
  • Facility Name: WALGREENS 07043
  • Facility Address: 459 POWELL ST
    SAN FRANCISCO, CA
    ZIP 94102
  • Facility Phone: 415 984-0793
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA Z. WU
  • NPI Number: 1629085683
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299582
LAB Type Pharmacy
Facility Name WALGREENS 07043
Street 459 POWELL ST
City SAN FRANCISCO
State CA
ZIP 94102
Phone 415 984-0793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Pharmacy
Lab Director JESSICA Z. WU

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