03D2008147 CLIA NUMBER - WALGREENS #02243

Laboratory Demographics

  • CLIA Code: 03D2008147
  • Facility Name: WALGREENS #02243
  • Facility Address: 387 N ESTRELLA PKWY
    GOODYEAR, AZ
    ZIP 85338
  • Facility Phone: 623 215-1046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHANIEL AMOAKOAGYEI
  • NPI Number: 1770830341
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2008147
LAB Type Pharmacy
Facility Name WALGREENS #02243
Street 387 N ESTRELLA PKWY
City GOODYEAR
State AZ
ZIP 85338
Phone 623 215-1046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Pharmacy
Lab Director NATHANIEL AMOAKOAGYEI

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