03D2008023 CLIA NUMBER - WALGREENS #05453

Laboratory Demographics

  • CLIA Code: 03D2008023
  • Facility Name: WALGREENS #05453
  • Facility Address: 6501 E GREENWAY PKWY
    SCOTTSDALE, AZ
    ZIP 85254
  • Facility Phone: 480 368-7893
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY SALEM
  • NPI Number: 1831105204
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2008023
LAB Type Pharmacy
Facility Name WALGREENS #05453
Street 6501 E GREENWAY PKWY
City SCOTTSDALE
State AZ
ZIP 85254
Phone 480 368-7893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2023
Certificate Expiration Date 5/10/2025
Facility Type Pharmacy
Lab Director MARY SALEM

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This page was last updated on: 3/20/2025