05D2301499 CLIA NUMBER - WALGREENS 11407

Laboratory Demographics

  • CLIA Code: 05D2301499
  • Facility Name: WALGREENS 11407
  • Facility Address: 3010 N DEMAREE ST
    VISALIA, CA
    ZIP 93291
  • Facility Phone: 559 734-5861
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJEEV N. PANDEY
  • NPI Number: 1205159472
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2301499
LAB Type Pharmacy
Facility Name WALGREENS 11407
Street 3010 N DEMAREE ST
City VISALIA
State CA
ZIP 93291
Phone 559 734-5861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Pharmacy
Lab Director RAJEEV N. PANDEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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