05D2304468 CLIA NUMBER - WALGREENS 06655

Laboratory Demographics

  • CLIA Code: 05D2304468
  • Facility Name: WALGREENS 06655
  • Facility Address: 1160 BROADWAY
    BURLINGAME, CA
    ZIP 94010
  • Facility Phone: 650 347-3026
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CALVIN YAU
  • NPI Number: 1427064005
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304468
LAB Type Pharmacy
Facility Name WALGREENS 06655
Street 1160 BROADWAY
City BURLINGAME
State CA
ZIP 94010
Phone 650 347-3026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Pharmacy
Lab Director CALVIN YAU

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