05D2308170 CLIA NUMBER - WALGREENS 06869

Laboratory Demographics

  • CLIA Code: 05D2308170
  • Facility Name: WALGREENS 06869
  • Facility Address: 2605 MIDDLEFIELD RD
    PALO ALTO, CA
    ZIP 94306
  • Facility Phone: 650 566-9723
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAE YANG
  • NPI Number: 1598770828
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2308170
LAB Type Pharmacy
Facility Name WALGREENS 06869
Street 2605 MIDDLEFIELD RD
City PALO ALTO
State CA
ZIP 94306
Phone 650 566-9723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director HAE YANG

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