05D2301603 CLIA NUMBER - WALGREENS 10827

Laboratory Demographics

  • CLIA Code: 05D2301603
  • Facility Name: WALGREENS 10827
  • Facility Address: 1435 HIGH ST
    DELANO, CA
    ZIP 93215
  • Facility Phone: 661 721-2294
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HENRY H. THAI
  • NPI Number: 1124308382
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301603
LAB Type Pharmacy
Facility Name WALGREENS 10827
Street 1435 HIGH ST
City DELANO
State CA
ZIP 93215
Phone 661 721-2294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director HENRY H. THAI

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This page was last updated on: 6/4/2025