05D2304311 CLIA NUMBER - WALGREENS 02112

Laboratory Demographics

  • CLIA Code: 05D2304311
  • Facility Name: WALGREENS 02112
  • Facility Address: 5437 CLAYTON RD
    CLAYTON, CA
    ZIP 94517
  • Facility Phone: 925 672-1356
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RABIA RANA
  • NPI Number: 1689689952
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304311
LAB Type Pharmacy
Facility Name WALGREENS 02112
Street 5437 CLAYTON RD
City CLAYTON
State CA
ZIP 94517
Phone 925 672-1356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Pharmacy
Lab Director RABIA RANA

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