05D2307385 CLIA NUMBER - WALGREENS 11614

Laboratory Demographics

  • CLIA Code: 05D2307385
  • Facility Name: WALGREENS 11614
  • Facility Address: 2750 PINOLE VALLEY RD
    PINOLE, CA
    ZIP 94564
  • Facility Phone: 510 222-9422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVELYN M. SANCHEZ
  • NPI Number: 1235306937
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307385
LAB Type Pharmacy
Facility Name WALGREENS 11614
Street 2750 PINOLE VALLEY RD
City PINOLE
State CA
ZIP 94564
Phone 510 222-9422
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 EVELYN M. SANCHEZ

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