03D1016520 CLIA NUMBER - FRYS FOOD & DRUG FRYS PHARMACY #54

Laboratory Demographics

  • CLIA Code: 03D1016520
  • Facility Name: FRYS FOOD & DRUG FRYS PHARMACY #54
  • Facility Address: 4842 E BELL ROAD
    SCOTTSDALE, AZ
    ZIP 85254
  • Facility Phone: 602 867-4060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE SPARK
  • NPI Number: 1033151618
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1016520
LAB Type Pharmacy
Facility Name FRYS FOOD & DRUG FRYS PHARMACY #54
Street 4842 E BELL ROAD
City SCOTTSDALE
State AZ
ZIP 85254
Phone 602 867-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2023
Certificate Expiration Date 8/28/2025
Facility Type Pharmacy
Lab Director STEPHANIE SPARK

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This page was last updated on: 3/20/2025