05D2307290 CLIA NUMBER - WALGREENS 02126

Laboratory Demographics

  • CLIA Code: 05D2307290
  • Facility Name: WALGREENS 02126
  • Facility Address: 1414 EL CAMINO REAL
    SAN CARLOS, CA
    ZIP 94070
  • Facility Phone: 650 637-9777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAK-YI CHAN
  • NPI Number: 1518244193
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307290
LAB Type Pharmacy
Facility Name WALGREENS 02126
Street 1414 EL CAMINO REAL
City SAN CARLOS
State CA
ZIP 94070
Phone 650 637-9777
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 PAK-YI CHAN

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