03D2011672 CLIA NUMBER - WALGREENS #03477

Laboratory Demographics

  • CLIA Code: 03D2011672
  • Facility Name: WALGREENS #03477
  • Facility Address: 204 E BELL RD
    PHOENIX, AZ
    ZIP 85022
  • Facility Phone: 602 375-0093
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAGED GERGIS
  • NPI Number: 1306851639
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011672
LAB Type Pharmacy
Facility Name WALGREENS #03477
Street 204 E BELL RD
City PHOENIX
State AZ
ZIP 85022
Phone 602 375-0093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director MAGED GERGIS

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This page was last updated on: 3/20/2025