05D2302021 CLIA NUMBER - WALGREENS 12298

Laboratory Demographics

  • CLIA Code: 05D2302021
  • Facility Name: WALGREENS 12298
  • Facility Address: 852 E MANNING AVE
    REEDLEY, CA
    ZIP 93654
  • Facility Phone: 559 643-0367
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIONN ALLS
  • NPI Number: 1114156668
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302021
LAB Type Pharmacy
Facility Name WALGREENS 12298
Street 852 E MANNING AVE
City REEDLEY
State CA
ZIP 93654
Phone 559 643-0367
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 KIONN ALLS

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