05D2297714 CLIA NUMBER - WALGREENS 03476

Laboratory Demographics

  • CLIA Code: 05D2297714
  • Facility Name: WALGREENS 03476
  • Facility Address: 100 W WALNUT AVE
    VISALIA, CA
    ZIP 93277
  • Facility Phone: 559 635-7810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA V. LE
  • NPI Number: 1992711543
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297714
LAB Type Pharmacy
Facility Name WALGREENS 03476
Street 100 W WALNUT AVE
City VISALIA
State CA
ZIP 93277
Phone 559 635-7810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Pharmacy
Lab Director JESSICA V. LE

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