05D2300629 CLIA NUMBER - WALGREENS 11706

Laboratory Demographics

  • CLIA Code: 05D2300629
  • Facility Name: WALGREENS 11706
  • Facility Address: 301 E 18TH ST OAKLAND
    OAKLAND, CA
    ZIP 94606
  • Facility Phone: 510 271-0103
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANIA LAM
  • NPI Number: 1518972843
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300629
LAB Type Pharmacy
Facility Name WALGREENS 11706
Street 301 E 18TH ST OAKLAND
City OAKLAND
State CA
ZIP 94606
Phone 510 271-0103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Pharmacy
Lab Director MANIA LAM

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