05D2300339 CLIA NUMBER - WALGREENS 13667

Laboratory Demographics

CLIA Number: 05D2300339

Facility Name: WALGREENS 13667

Facility Address:
5280 GEARY BLVD
SAN FRANCISCO, CA
ZIP 94118
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Facility Phone Number: 415 668-2041

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568602142

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