05D2304715 CLIA NUMBER - WALGREENS 05411

Laboratory Demographics

  • CLIA Code: 05D2304715
  • Facility Name: WALGREENS 05411
  • Facility Address: 710 W GRANGEVILLE BLVD
    HANFORD, CA
    ZIP 93230
  • Facility Phone: 559 582-9438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANH Q. TRUONG
  • NPI Number: 1659386936
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2304715
LAB Type Pharmacy
Facility Name WALGREENS 05411
Street 710 W GRANGEVILLE BLVD
City HANFORD
State CA
ZIP 93230
Phone 559 582-9438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Pharmacy
Lab Director ANH Q. TRUONG

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