05D2135214 CLIA NUMBER - KOMOTO PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2135214
  • Facility Name: KOMOTO PHARMACY
  • Facility Address: 1017 ELLINGTON ST
    DELANO, CA
    ZIP 93215
  • Facility Phone: 661 725-9489
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER VIGIL PIC
  • NPI Number: 1548275324
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2135214
LAB Type Pharmacy
Facility Name KOMOTO PHARMACY
Street 1017 ELLINGTON ST
City DELANO
State CA
ZIP 93215
Phone 661 725-9489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director PETER VIGIL PIC

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