05D2300308 CLIA NUMBER - WALGREENS 06502

Laboratory Demographics

  • CLIA Code: 05D2300308
  • Facility Name: WALGREENS 06502
  • Facility Address: 23958 HESPERIAN BLVD
    HAYWARD, CA
    ZIP 94541
  • Facility Phone: 510 786-9174
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPHINE R. VELASQUEZ
  • NPI Number: 1902811235
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300308
LAB Type Pharmacy
Facility Name WALGREENS 06502
Street 23958 HESPERIAN BLVD
City HAYWARD
State CA
ZIP 94541
Phone 510 786-9174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Pharmacy
Lab Director JOSEPHINE R. VELASQUEZ

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