03D2011601 CLIA NUMBER - WALGREENS #03163

Laboratory Demographics

  • CLIA Code: 03D2011601
  • Facility Name: WALGREENS #03163
  • Facility Address: 3420 N SCOTTSDALE RD
    SCOTTSDALE, AZ
    ZIP 85251
  • Facility Phone: 480 941-0915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HADLEY M. NEIDHARDT
  • NPI Number: 1528074226
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011601
LAB Type Pharmacy
Facility Name WALGREENS #03163
Street 3420 N SCOTTSDALE RD
City SCOTTSDALE
State AZ
ZIP 85251
Phone 480 941-0915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director HADLEY M. NEIDHARDT

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