05D2307285 CLIA NUMBER - WALGREENS 00101

Laboratory Demographics

  • CLIA Code: 05D2307285
  • Facility Name: WALGREENS 00101
  • Facility Address: 3382 CASTRO VALLEY BLVD
    CASTRO VALLEY, CA
    ZIP 94546
  • Facility Phone: 510 537-0072
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINNA H. LEE
  • NPI Number: 1821003195
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307285
LAB Type Pharmacy
Facility Name WALGREENS 00101
Street 3382 CASTRO VALLEY BLVD
City CASTRO VALLEY
State CA
ZIP 94546
Phone 510 537-0072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Pharmacy
Lab Director LINNA H. LEE

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