05D2308181 CLIA NUMBER - WALGREENS 10243

Laboratory Demographics

  • CLIA Code: 05D2308181
  • Facility Name: WALGREENS 10243
  • Facility Address: 2420 N BLACKSTONE AVE
    FRESNO, CA
    ZIP 93703
  • Facility Phone: 559 244-0974
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARCY COVEY
  • NPI Number: 1336316884
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2308181
LAB Type Pharmacy
Facility Name WALGREENS 10243
Street 2420 N BLACKSTONE AVE
City FRESNO
State CA
ZIP 93703
Phone 559 244-0974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director DARCY COVEY

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