03D2008038 CLIA NUMBER - WALGREENS #06697

Laboratory Demographics

  • CLIA Code: 03D2008038
  • Facility Name: WALGREENS #06697
  • Facility Address: 7606 S 7TH ST
    PHOENIX, AZ
    ZIP 85042
  • Facility Phone: 602 243-1525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAX BERESTOVETSKY
  • NPI Number: 1215942552
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2008038
LAB Type Pharmacy
Facility Name WALGREENS #06697
Street 7606 S 7TH ST
City PHOENIX
State AZ
ZIP 85042
Phone 602 243-1525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director MAX BERESTOVETSKY

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