05D2303418 CLIA NUMBER - WALGREENS 07088

Laboratory Demographics

  • CLIA Code: 05D2303418
  • Facility Name: WALGREENS 07088
  • Facility Address: 303 2ND ST
    LOS ALTOS, CA
    ZIP 94022
  • Facility Phone: 650 949-3378
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM BOYOUNG
  • NPI Number: 1770598864
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303418
LAB Type Pharmacy
Facility Name WALGREENS 07088
Street 303 2ND ST
City LOS ALTOS
State CA
ZIP 94022
Phone 650 949-3378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Pharmacy
Lab Director KIM BOYOUNG

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