05D2259229 CLIA NUMBER - WALGREENS #07204

Laboratory Demographics

  • CLIA Code: 05D2259229
  • Facility Name: WALGREENS #07204
  • Facility Address: 7015 N WEST AVE
    FRESNO, CA
    ZIP 93711
  • Facility Phone: 559 440-1404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WAFAA ARAIM
  • NPI Number: 1609881614
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259229
LAB Type Pharmacy
Facility Name WALGREENS #07204
Street 7015 N WEST AVE
City FRESNO
State CA
ZIP 93711
Phone 559 440-1404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Pharmacy
Lab Director WAFAA ARAIM

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