05D2306105 CLIA NUMBER - WALGREENS 02150

Laboratory Demographics

  • CLIA Code: 05D2306105
  • Facility Name: WALGREENS 02150
  • Facility Address: 1763 SANTA RITA RD
    PLEASANTON, CA
    ZIP 94566
  • Facility Phone: 925 426-1562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUN Y. TAI
  • NPI Number: 1043225378
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2306105
LAB Type Pharmacy
Facility Name WALGREENS 02150
Street 1763 SANTA RITA RD
City PLEASANTON
State CA
ZIP 94566
Phone 925 426-1562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Pharmacy
Lab Director CHUN Y. TAI

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