03D2013012 CLIA NUMBER - WALGREENS #01272

Laboratory Demographics

  • CLIA Code: 03D2013012
  • Facility Name: WALGREENS #01272
  • Facility Address: 5101 W INDIAN SCHOOL RD
    PHOENIX, AZ
    ZIP 85031
  • Facility Phone: 623 247-1014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS J. ASSIF
  • NPI Number: 1801801170
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2013012
LAB Type Pharmacy
Facility Name WALGREENS #01272
Street 5101 W INDIAN SCHOOL RD
City PHOENIX
State AZ
ZIP 85031
Phone 623 247-1014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director NICHOLAS J. ASSIF

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