CLIA lab

CLIA 05D2302153: Walgreens 12574

Fresno, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2302153 belongs to Walgreens 12574 in Fresno, CA.

Certificate of Waiver, effective April 4, 2026, expires April 3, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 4, 2026
Certificate expiration
April 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 4, 2024
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2302153
Lab name
Walgreens 12574
Address
1219 N Cedar Ave, Fresno, CA 93703
Phone
(559) 498-8283
Fax
(559) 498-0252

Annual test volume the lab reported

Waived tests
12,775

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walgreens 12574 in Fresno?

05D2302153, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens 12574 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2302153 expire?

The CMS file lists April 3, 2028 as the certificate expiration date; the certificate took effect April 4, 2026.

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