05D2302024 CLIA NUMBER - WALGREENS 15330

Laboratory Demographics

  • CLIA Code: 05D2302024
  • Facility Name: WALGREENS 15330
  • Facility Address: 5809 FOOTHILL BLVD
    OAKLAND, CA
    ZIP 94605
  • Facility Phone: 510 564-0405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMUEL C. HO
  • NPI Number: 1457879835
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302024
LAB Type Pharmacy
Facility Name WALGREENS 15330
Street 5809 FOOTHILL BLVD
City OAKLAND
State CA
ZIP 94605
Phone 510 564-0405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director SAMUEL C. HO

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