03D2013015 CLIA NUMBER - WALGREENS #03464

Laboratory Demographics

  • CLIA Code: 03D2013015
  • Facility Name: WALGREENS #03464
  • Facility Address: 3402 N CENTRAL AVE
    PHOENIX, AZ
    ZIP 85012
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID TEST SITE
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. CHAVEZ
  • NPI Number: 1710992086
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2013015
LAB Type Other - COVID TEST SITE
Facility Name WALGREENS #03464
Street 3402 N CENTRAL AVE
City PHOENIX
State AZ
ZIP 85012
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Other - COVID TEST SITE
Lab Director CHRISTOPHER J. CHAVEZ

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