03D2011597 CLIA NUMBER - WALGREENS #03657

Laboratory Demographics

  • CLIA Code: 03D2011597
  • Facility Name: WALGREENS #03657
  • Facility Address: 3361 N LITCHFIELD RD
    GOODYEAR, AZ
    ZIP 85395
  • Facility Phone: 623 935-1314
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN D. THIERER
  • NPI Number: 1598770844
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011597
LAB Type Pharmacy
Facility Name WALGREENS #03657
Street 3361 N LITCHFIELD RD
City GOODYEAR
State AZ
ZIP 85395
Phone 623 935-1314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director JOHN D. THIERER

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