05D2301263 CLIA NUMBER - WALGREENS 13595

Laboratory Demographics

  • CLIA Code: 05D2301263
  • Facility Name: WALGREENS 13595
  • Facility Address: 1333 BROADWAY
    OAKLAND, CA
    ZIP 94612
  • Facility Phone: 510 832-2694
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAYMOND LAU
  • NPI Number: 1265447536
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301263
LAB Type Pharmacy
Facility Name WALGREENS 13595
Street 1333 BROADWAY
City OAKLAND
State CA
ZIP 94612
Phone 510 832-2694
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 RAYMOND LAU

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