03D2008017 CLIA NUMBER - WALGREENS #04508

Laboratory Demographics

  • CLIA Code: 03D2008017
  • Facility Name: WALGREENS #04508
  • Facility Address: 3431 W UNION HILLS DR
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 602 564-6641
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON MILLER
  • NPI Number: 1447265772
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2008017
LAB Type Pharmacy
Facility Name WALGREENS #04508
Street 3431 W UNION HILLS DR
City PHOENIX
State AZ
ZIP 85027
Phone 602 564-6641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director ALLISON MILLER

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