05D2300339 CLIA NUMBER - WALGREENS 13667

Laboratory Demographics

  • CLIA Code: 05D2300339
  • Facility Name: WALGREENS 13667
  • Facility Address: 5280 GEARY BLVD
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 668-2041
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILSON KWOK
  • NPI Number: 1568602142
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300339
LAB Type Pharmacy
Facility Name WALGREENS 13667
Street 5280 GEARY BLVD
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 668-2041
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 WILSON KWOK

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