05D2315982 CLIA NUMBER - CHERRY PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2315982
  • Facility Name: CHERRY PHARMACY
  • Facility Address: 1053 N CHERRY ST
    TULARE, CA
    ZIP 93274
  • Facility Phone: 559 234-2112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALBERTO RUVALCABA
  • NPI Number: 1215541495
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2315982
LAB Type Pharmacy
Facility Name CHERRY PHARMACY
Street 1053 N CHERRY ST
City TULARE
State CA
ZIP 93274
Phone 559 234-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Pharmacy
Lab Director ALBERTO RUVALCABA

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