05D2300631 CLIA NUMBER - WALGREENS 06683

Laboratory Demographics

  • CLIA Code: 05D2300631
  • Facility Name: WALGREENS 06683
  • Facility Address: 5328 W CYPRESS AVE
    VISALIA, CA
    ZIP 93277
  • Facility Phone: 559 741-9583
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BUI BUI THOMAS
  • NPI Number: 1326053653
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300631
LAB Type Pharmacy
Facility Name WALGREENS 06683
Street 5328 W CYPRESS AVE
City VISALIA
State CA
ZIP 93277
Phone 559 741-9583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Pharmacy
Lab Director BUI BUI THOMAS

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