05D2304317 CLIA NUMBER - WALGREENS 02660

Laboratory Demographics

  • CLIA Code: 05D2304317
  • Facility Name: WALGREENS 02660
  • Facility Address: 41400 BLACOW RD
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 440-8195
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMMY YAU
  • NPI Number: 1043226608
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304317
LAB Type Pharmacy
Facility Name WALGREENS 02660
Street 41400 BLACOW RD
City FREMONT
State CA
ZIP 94538
Phone 510 440-8195
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 TAMMY YAU

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