05D2307258 CLIA NUMBER - WALGREENS 06585

Laboratory Demographics

  • CLIA Code: 05D2307258
  • Facility Name: WALGREENS 06585
  • Facility Address: 1570 W CAMPBELL AVE
    CAMPBELL, CA
    ZIP 95008
  • Facility Phone: 408 374-3038
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIND A. DEEB
  • NPI Number: 1114933785
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307258
LAB Type Pharmacy
Facility Name WALGREENS 06585
Street 1570 W CAMPBELL AVE
City CAMPBELL
State CA
ZIP 95008
Phone 408 374-3038
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 HIND A. DEEB

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