03D1095514 CLIA NUMBER - WALGREENS #03768

Laboratory Demographics

  • CLIA Code: 03D1095514
  • Facility Name: WALGREENS #03768
  • Facility Address: 6404 S MCCLINTOCK RD
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 480 838-9200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH ELASHKAR
  • NPI Number: 1457366783
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1095514
LAB Type Pharmacy
Facility Name WALGREENS #03768
Street 6404 S MCCLINTOCK RD
City TEMPE
State AZ
ZIP 85283
Phone 480 838-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director JOSEPH ELASHKAR

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