05D2307287 CLIA NUMBER - WALGREENS 01626

Laboratory Demographics

  • CLIA Code: 05D2307287
  • Facility Name: WALGREENS 01626
  • Facility Address: 2494 SAN BRUNO AVE
    SAN FRANCISCO, CA
    ZIP 94134
  • Facility Phone: 415 468-4274
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AI-THUAN P. NGUYEN
  • NPI Number: 1699780924
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307287
LAB Type Pharmacy
Facility Name WALGREENS 01626
Street 2494 SAN BRUNO AVE
City SAN FRANCISCO
State CA
ZIP 94134
Phone 415 468-4274
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 AI-THUAN P. NGUYEN

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