05D2300332 CLIA NUMBER - WALGREENS 15127

Laboratory Demographics

CLIA Number: 05D2300332

Facility Name: WALGREENS 15127

Facility Address:
1175 COLUMBUS AVE
SAN FRANCISCO, CA
ZIP 94133
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Facility Phone Number: 415 345-1079

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1003175738

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	05D2300332
LAB Type	Pharmacy
Facility Name	WALGREENS 15127
Street	1175 COLUMBUS AVE
City	SAN FRANCISCO
State	CA
ZIP	94133
Phone	415 345-1079
CertificateType	4
CertificateEffectiveDate	3/7/2024
CertificateExpirationDate	3/6/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024