05D2222014 CLIA NUMBER - WALGREENS #11612

Laboratory Demographics

  • CLIA Code: 05D2222014
  • Facility Name: WALGREENS #11612
  • Facility Address: 12 W HANFORD ARMONA RD
    LEMOORE, CA
    ZIP 93245
  • Facility Phone: 559 925-6510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEIL RAKHOLIA
  • NPI Number: 1134384290
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2222014
LAB Type Pharmacy
Facility Name WALGREENS #11612
Street 12 W HANFORD ARMONA RD
City LEMOORE
State CA
ZIP 93245
Phone 559 925-6510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director NEIL RAKHOLIA

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