05D2301260 CLIA NUMBER - WALGREENS 13670

Laboratory Demographics

  • CLIA Code: 05D2301260
  • Facility Name: WALGREENS 13670
  • Facility Address: 200 WEST PORTOL AVE
    SAN FRANCISCO, CA
    ZIP 94127
  • Facility Phone: 415 665-1008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE BELL
  • NPI Number: 1467692046
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301260
LAB Type Pharmacy
Facility Name WALGREENS 13670
Street 200 WEST PORTOL AVE
City SAN FRANCISCO
State CA
ZIP 94127
Phone 415 665-1008
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 MICHELLE BELL

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