05D2189797 CLIA NUMBER - SELMA PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2189797
  • Facility Name: SELMA PHARMACY
  • Facility Address: 2132 HIGH ST
    SELMA, CA
    ZIP 93662
  • Facility Phone: 817 500-7020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUS SHADY
  • NPI Number: 1750937447
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2189797
LAB Type Pharmacy
Facility Name SELMA PHARMACY
Street 2132 HIGH ST
City SELMA
State CA
ZIP 93662
Phone 817 500-7020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Pharmacy
Lab Director DOUS SHADY

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