05D2293853 CLIA NUMBER - WALGREENS #01816

Laboratory Demographics

  • CLIA Code: 05D2293853
  • Facility Name: WALGREENS #01816
  • Facility Address: 3301 PANAMA LANE
    BAKERSFIELD, CA
    ZIP 93313
  • Facility Phone: 661 835-9383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KANAKA VADLAPATLA
  • NPI Number: 1114033412
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2293853
LAB Type Pharmacy
Facility Name WALGREENS #01816
Street 3301 PANAMA LANE
City BAKERSFIELD
State CA
ZIP 93313
Phone 661 835-9383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director KANAKA VADLAPATLA

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