05D2306364 CLIA NUMBER - WALGREENS 05365

Laboratory Demographics

  • CLIA Code: 05D2306364
  • Facility Name: WALGREENS 05365
  • Facility Address: 6100 MISSION ST
    DALY CITY, CA
    ZIP 94014
  • Facility Phone: 650 992-3900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. WONG
  • NPI Number: 1598771156
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2306364
LAB Type Pharmacy
Facility Name WALGREENS 05365
Street 6100 MISSION ST
City DALY CITY
State CA
ZIP 94014
Phone 650 992-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Pharmacy
Lab Director KIMBERLY A. WONG

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