05D2304571 CLIA NUMBER - WALGREENS 03869

Laboratory Demographics

  • CLIA Code: 05D2304571
  • Facility Name: WALGREENS 03869
  • Facility Address: 1750 NORIEGA ST
    SAN FRANCISCO, CA
    ZIP 94122
  • Facility Phone: 415 664-5543
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FREEDA N. WONG
  • NPI Number: 1245245521
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304571
LAB Type Pharmacy
Facility Name WALGREENS 03869
Street 1750 NORIEGA ST
City SAN FRANCISCO
State CA
ZIP 94122
Phone 415 664-5543
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Pharmacy
Lab Director FREEDA N. WONG

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