03D2011518 CLIA NUMBER - WALGREENS #03789

Laboratory Demographics

  • CLIA Code: 03D2011518
  • Facility Name: WALGREENS #03789
  • Facility Address: 3605 E THOMAS RD
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 602 275-7507
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAQUELINE BAGINSKI
  • NPI Number: 1821004474
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011518
LAB Type Pharmacy
Facility Name WALGREENS #03789
Street 3605 E THOMAS RD
City PHOENIX
State AZ
ZIP 85018
Phone 602 275-7507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director JAQUELINE BAGINSKI

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