05D2307299 CLIA NUMBER - WALGREENS 05599

Laboratory Demographics

  • CLIA Code: 05D2307299
  • Facility Name: WALGREENS 05599
  • Facility Address: 2120 POLK ST
    SAN FRANCISCO, CA
    ZIP 94109
  • Facility Phone: 415 474-9752
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTORIA A. PHAM
  • NPI Number: 1013922343
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307299
LAB Type Pharmacy
Facility Name WALGREENS 05599
Street 2120 POLK ST
City SAN FRANCISCO
State CA
ZIP 94109
Phone 415 474-9752
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 VICTORIA A. PHAM

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