05D2297199 CLIA NUMBER - WALGREENS 05847

Laboratory Demographics

  • CLIA Code: 05D2297199
  • Facility Name: WALGREENS 05847
  • Facility Address: 610 E NEES AVE
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 431-1379
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANI SHUKLIAN
  • NPI Number: 1447265731
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297199
LAB Type Pharmacy
Facility Name WALGREENS 05847
Street 610 E NEES AVE
City FRESNO
State CA
ZIP 93720
Phone 559 431-1379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director ANI SHUKLIAN

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