05D2301191 CLIA NUMBER - WALGREENS 16090

Laboratory Demographics

  • CLIA Code: 05D2301191
  • Facility Name: WALGREENS 16090
  • Facility Address: 11440 WINDEMERE PKWY
    SAN RAMON, CA
    ZIP 94582
  • Facility Phone: 925 364-6401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIRUPAMA R. ALLA
  • NPI Number: 1417403098
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301191
LAB Type Pharmacy
Facility Name WALGREENS 16090
Street 11440 WINDEMERE PKWY
City SAN RAMON
State CA
ZIP 94582
Phone 925 364-6401
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 NIRUPAMA R. ALLA

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