05D2302020 CLIA NUMBER - WALGREENS 12337

Laboratory Demographics

  • CLIA Code: 05D2302020
  • Facility Name: WALGREENS 12337
  • Facility Address: 2795 FLORAL AVE
    SELMA, CA
    ZIP 93662
  • Facility Phone: 559 891-9823
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZENIA OUEINI
  • NPI Number: 1063647238
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302020
LAB Type Pharmacy
Facility Name WALGREENS 12337
Street 2795 FLORAL AVE
City SELMA
State CA
ZIP 93662
Phone 559 891-9823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director ZENIA OUEINI

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