05D2303846 CLIA NUMBER - WALGREENS 00842

Laboratory Demographics

  • CLIA Code: 05D2303846
  • Facility Name: WALGREENS 00842
  • Facility Address: 350 N CAPITOL AVE
    SAN JOSE, CA
    ZIP 95133
  • Facility Phone: 408 259-9200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP ZHENG
  • NPI Number: 1730194002
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303846
LAB Type Pharmacy
Facility Name WALGREENS 00842
Street 350 N CAPITOL AVE
City SAN JOSE
State CA
ZIP 95133
Phone 408 259-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Pharmacy
Lab Director PHILIP ZHENG

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This page was last updated on: 6/4/2025