03D2011634 CLIA NUMBER - WALGREENS #03913

Laboratory Demographics

  • CLIA Code: 03D2011634
  • Facility Name: WALGREENS #03913
  • Facility Address: 2360 HIGHWAY 95
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 763-5858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SATHISH CARIAPPA
  • NPI Number: 1942215280
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2011634
LAB Type Pharmacy
Facility Name WALGREENS #03913
Street 2360 HIGHWAY 95
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 763-5858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director SATHISH CARIAPPA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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