03D2011670 CLIA NUMBER - WALGREENS #03049

Laboratory Demographics

  • CLIA Code: 03D2011670
  • Facility Name: WALGREENS #03049
  • Facility Address: 4965 W BELL RD
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 843-2305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY M. BROWN
  • NPI Number: 1083629323
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011670
LAB Type Pharmacy
Facility Name WALGREENS #03049
Street 4965 W BELL RD
City GLENDALE
State AZ
ZIP 85308
Phone 602 843-2305
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 ZACHARY M. BROWN

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