05D2223012 CLIA NUMBER - WALGREENS #10334

Laboratory Demographics

  • CLIA Code: 05D2223012
  • Facility Name: WALGREENS #10334
  • Facility Address: 1790 SHAW AVE
    CLOVIS, CA
    ZIP 93611
  • Facility Phone: 559 299-5823
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TROY E. FAIRCHILD JR
  • NPI Number: 1871508150
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2223012
LAB Type Pharmacy
Facility Name WALGREENS #10334
Street 1790 SHAW AVE
City CLOVIS
State CA
ZIP 93611
Phone 559 299-5823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director TROY E. FAIRCHILD JR

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