05D2301250 CLIA NUMBER - WALGREENS 15003

Laboratory Demographics

  • CLIA Code: 05D2301250
  • Facility Name: WALGREENS 15003
  • Facility Address: 1990 MONUMENT BLVD
    CONCORD, CA
    ZIP 94520
  • Facility Phone: 925 689-7812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIN A. CHOI
  • NPI Number: 1275809568
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301250
LAB Type Pharmacy
Facility Name WALGREENS 15003
Street 1990 MONUMENT BLVD
City CONCORD
State CA
ZIP 94520
Phone 925 689-7812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director JIN A. CHOI

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