05D2298529 CLIA NUMBER - WALGREENS 03294

Laboratory Demographics

  • CLIA Code: 05D2298529
  • Facility Name: WALGREENS 03294
  • Facility Address: 2628 MOUNT VERNON AVE
    BAKERSFIELD, CA
    ZIP 93306
  • Facility Phone: 661 871-3885
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NG COKLEONG
  • NPI Number: 1386659654
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298529
LAB Type Pharmacy
Facility Name WALGREENS 03294
Street 2628 MOUNT VERNON AVE
City BAKERSFIELD
State CA
ZIP 93306
Phone 661 871-3885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Pharmacy
Lab Director NG COKLEONG

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