05D2223086 CLIA NUMBER - WALGREENS #10335

Laboratory Demographics

  • CLIA Code: 05D2223086
  • Facility Name: WALGREENS #10335
  • Facility Address: 2424 N BRAWLEY AVE
    FRESNO, CA
    ZIP 93722
  • Facility Phone: 559 277-5912
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA THANH NGUYEN
  • NPI Number: 1811103443
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2223086
LAB Type Pharmacy
Facility Name WALGREENS #10335
Street 2424 N BRAWLEY AVE
City FRESNO
State CA
ZIP 93722
Phone 559 277-5912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director ANNA THANH NGUYEN

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