05D2200485 CLIA NUMBER - FOX DRUG INC.

Home > CLIA Lookup > 05D2200485

Laboratory Demographics

CLIA Number: 05D2200485

Facility Name: FOX DRUG INC.

Facility Address:
1939 HIGH ST
SELMA, CA
ZIP 93662
Get Directions

Facility Phone Number: 559 896-1645

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427041185

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	05D2200485
LAB Type	Pharmacy
Facility Name	FOX DRUG INC.
Street	1939 HIGH ST
City	SELMA
State	CA
ZIP	93662
Phone	559 896-1645
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024