05D2305763 CLIA NUMBER - VISALIA PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2305763
  • Facility Name: VISALIA PHARMACY
  • Facility Address: 444 NW 3RD AVE
    VISALIA, CA
    ZIP 93291
  • Facility Phone: 559 667-9292
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANY MANSOUR
  • NPI Number: 1881232213
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2305763
LAB Type Pharmacy
Facility Name VISALIA PHARMACY
Street 444 NW 3RD AVE
City VISALIA
State CA
ZIP 93291
Phone 559 667-9292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Pharmacy
Lab Director HANY MANSOUR

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