05D2299440 CLIA NUMBER - WALGREENS 06387

Laboratory Demographics

  • CLIA Code: 05D2299440
  • Facility Name: WALGREENS 06387
  • Facility Address: 1815 HERNDON AVE
    CLOVIS, CA
    ZIP 93611
  • Facility Phone: 559 325-1324
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER N. VANG
  • NPI Number: 1235145616
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299440
LAB Type Pharmacy
Facility Name WALGREENS 06387
Street 1815 HERNDON AVE
City CLOVIS
State CA
ZIP 93611
Phone 559 325-1324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Pharmacy
Lab Director CHRISTOPHER N. VANG

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