05D2062522 CLIA NUMBER - WALGREENS #13871

Laboratory Demographics

  • CLIA Code: 05D2062522
  • Facility Name: WALGREENS #13871
  • Facility Address: 1016 W SHAW AVE
    FRESNO, CA
    ZIP 93711
  • Facility Phone: 559 229-2361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUZADEH H. JALALI
  • NPI Number: 1578578860
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2062522
LAB Type Pharmacy
Facility Name WALGREENS #13871
Street 1016 W SHAW AVE
City FRESNO
State CA
ZIP 93711
Phone 559 229-2361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Pharmacy
Lab Director AUZADEH H. JALALI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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