05D2307272 CLIA NUMBER - WALGREENS 04050

Laboratory Demographics

  • CLIA Code: 05D2307272
  • Facility Name: WALGREENS 04050
  • Facility Address: 1916 WEBSTER ST
    ALAMEDA, CA
    ZIP 94501
  • Facility Phone: 510 864-2800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER Y. KIM
  • NPI Number: 1851307508
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307272
LAB Type Pharmacy
Facility Name WALGREENS 04050
Street 1916 WEBSTER ST
City ALAMEDA
State CA
ZIP 94501
Phone 510 864-2800
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 PETER Y. KIM

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