05D2301188 CLIA NUMBER - WALGREENS 15946

Laboratory Demographics

  • CLIA Code: 05D2301188
  • Facility Name: WALGREENS 15946
  • Facility Address: 3614 MT DIABLO BLVD
    LAFAYETTE, CA
    ZIP 94549
  • Facility Phone: 925 385-2385
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HO BUN YEUNG
  • NPI Number: 1205229754
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301188
LAB Type Pharmacy
Facility Name WALGREENS 15946
Street 3614 MT DIABLO BLVD
City LAFAYETTE
State CA
ZIP 94549
Phone 925 385-2385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Pharmacy
Lab Director HO BUN YEUNG

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