03D1095511 CLIA NUMBER - WALGREENS #05937

Laboratory Demographics

  • CLIA Code: 03D1095511
  • Facility Name: WALGREENS #05937
  • Facility Address: 4315 W MCDOWELL RD
    PHOENIX, AZ
    ZIP 85035
  • Facility Phone: 602 325-0076
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA K. PATTON
  • NPI Number: 1588679823
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1095511
LAB Type Pharmacy
Facility Name WALGREENS #05937
Street 4315 W MCDOWELL RD
City PHOENIX
State AZ
ZIP 85035
Phone 602 325-0076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Pharmacy
Lab Director CHRISTINA K. PATTON

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