05D2307273 CLIA NUMBER - WALGREENS 03346

Laboratory Demographics

  • CLIA Code: 05D2307273
  • Facility Name: WALGREENS 03346
  • Facility Address: 399 EL CAMINO REAL
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Facility Phone: 650 583-8685
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELYSIA CHAN
  • NPI Number: 1851307250
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307273
LAB Type Pharmacy
Facility Name WALGREENS 03346
Street 399 EL CAMINO REAL
City SOUTH SAN FRANCISCO
State CA
ZIP 94080
Phone 650 583-8685
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 ELYSIA CHAN

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