05D2307353 CLIA NUMBER - WALGREENS 13796

Laboratory Demographics

  • CLIA Code: 05D2307353
  • Facility Name: WALGREENS 13796
  • Facility Address: 14280 SAN PABLO AVE
    SAN PABLO, CA
    ZIP 94806
  • Facility Phone: 510 730-7000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOUSSEF ALDAHER
  • NPI Number: 1356646178
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307353
LAB Type Pharmacy
Facility Name WALGREENS 13796
Street 14280 SAN PABLO AVE
City SAN PABLO
State CA
ZIP 94806
Phone 510 730-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Pharmacy
Lab Director YOUSSEF ALDAHER

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