05D2299590 CLIA NUMBER - WALGREENS 06386

Laboratory Demographics

  • CLIA Code: 05D2299590
  • Facility Name: WALGREENS 06386
  • Facility Address: 4810 E KINGS CANYON RD
    FRESNO, CA
    ZIP 93727
  • Facility Phone: 559 458-0141
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGIE NGUYEN
  • NPI Number: 1396751962
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299590
LAB Type Pharmacy
Facility Name WALGREENS 06386
Street 4810 E KINGS CANYON RD
City FRESNO
State CA
ZIP 93727
Phone 559 458-0141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Pharmacy
Lab Director ANGIE NGUYEN

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