03D1095515 CLIA NUMBER - WALGREENS #03385

Laboratory Demographics

  • CLIA Code: 03D1095515
  • Facility Name: WALGREENS #03385
  • Facility Address: 5421 W THUNDERBIRD RD
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 602 547-9645
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURAN T. PRUITT
  • NPI Number: 1861407108
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1095515
LAB Type Pharmacy
Facility Name WALGREENS #03385
Street 5421 W THUNDERBIRD RD
City GLENDALE
State AZ
ZIP 85306
Phone 602 547-9645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director LAURAN T. PRUITT

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