05D2304714 CLIA NUMBER - WALGREENS 04516

Laboratory Demographics

  • CLIA Code: 05D2304714
  • Facility Name: WALGREENS 04516
  • Facility Address: 745 E DUNNE AVE
    MORGAN HILL, CA
    ZIP 95037
  • Facility Phone: 408 782-9591
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTY JANG
  • NPI Number: 1437164720
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304714
LAB Type Pharmacy
Facility Name WALGREENS 04516
Street 745 E DUNNE AVE
City MORGAN HILL
State CA
ZIP 95037
Phone 408 782-9591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Pharmacy
Lab Director KRISTY JANG

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