05D2299600 CLIA NUMBER - WALGREENS 02786

Laboratory Demographics

  • CLIA Code: 05D2299600
  • Facility Name: WALGREENS 02786
  • Facility Address: 14100 BLOSSOM HILL RD
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 356-1152
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN CHIANG
  • NPI Number: 1164437430
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299600
LAB Type Pharmacy
Facility Name WALGREENS 02786
Street 14100 BLOSSOM HILL RD
City LOS GATOS
State CA
ZIP 95032
Phone 408 356-1152
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 KEVIN CHIANG

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