03D1079783 CLIA NUMBER - WALGREENS #03387

Laboratory Demographics

  • CLIA Code: 03D1079783
  • Facility Name: WALGREENS #03387
  • Facility Address: 10705 W INDIAN SCHOOL RD
    AVONDALE, AZ
    ZIP 85392
  • Facility Phone: 623 877-3245
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRETT C. RIGEL
  • NPI Number: 1457367195
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1079783
LAB Type Pharmacy
Facility Name WALGREENS #03387
Street 10705 W INDIAN SCHOOL RD
City AVONDALE
State AZ
ZIP 85392
Phone 623 877-3245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director BRETT C. RIGEL

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