05D2301256 CLIA NUMBER - WALGREENS 07080

Laboratory Demographics

  • CLIA Code: 05D2301256
  • Facility Name: WALGREENS 07080
  • Facility Address: 105 E EL CAMINO
    SUNNYVALE, CA
    ZIP 94087
  • Facility Phone: 408 991-9013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENISE QUAN
  • NPI Number: 1982619219
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301256
LAB Type Pharmacy
Facility Name WALGREENS 07080
Street 105 E EL CAMINO
City SUNNYVALE
State CA
ZIP 94087
Phone 408 991-9013
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 DENISE QUAN

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