05D2200485 CLIA NUMBER - FOX DRUG INC.

Laboratory Demographics

  • CLIA Code: 05D2200485
  • Facility Name: FOX DRUG INC.
  • Facility Address: 1939 HIGH ST
    SELMA, CA
    ZIP 93662
  • Facility Phone: 559 896-1645
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIANNE JUNG
  • NPI Number: 1427041185
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Pharmacy
Lab Director DIANNE JUNG

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