05D2275277 CLIA NUMBER - VALLEY MEDICAL PHARMACY DBA MANOR DRUG MEDICAL & MOBILITY

Laboratory Demographics

  • CLIA Code: 05D2275277
  • Facility Name: VALLEY MEDICAL PHARMACY DBA MANOR DRUG MEDICAL & MOBILITY
  • Facility Address: 5795 N 1ST ST
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 431-4142
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGOC NGUYEN
  • NPI Number: 1407889819
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2275277
LAB Type Pharmacy
Facility Name VALLEY MEDICAL PHARMACY DBA MANOR DRUG MEDICAL & MOBILITY
Street 5795 N 1ST ST
City FRESNO
State CA
ZIP 93710
Phone 559 431-4142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Pharmacy
Lab Director NGOC NGUYEN

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