03D2013013 CLIA NUMBER - WALGREENS #04046

Laboratory Demographics

  • CLIA Code: 03D2013013
  • Facility Name: WALGREENS #04046
  • Facility Address: 3960 E CHANDLER BLVD
    PHOENIX, AZ
    ZIP 85048
  • Facility Phone: 480 759-1368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA STOREY
  • NPI Number: 1396750634
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2013013
LAB Type Pharmacy
Facility Name WALGREENS #04046
Street 3960 E CHANDLER BLVD
City PHOENIX
State AZ
ZIP 85048
Phone 480 759-1368
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 JESSICA STOREY

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