05D2307234 CLIA NUMBER - WALGREENS 10526

Laboratory Demographics

  • CLIA Code: 05D2307234
  • Facility Name: WALGREENS 10526
  • Facility Address: 3250 LAKESHORE AVE
    OAKLAND, CA
    ZIP 94610
  • Facility Phone: 510 271-0843
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUHA LEE
  • NPI Number: 1285828152
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307234
LAB Type Pharmacy
Facility Name WALGREENS 10526
Street 3250 LAKESHORE AVE
City OAKLAND
State CA
ZIP 94610
Phone 510 271-0843
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Pharmacy
Lab Director JUHA LEE

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