03D2013016 CLIA NUMBER - WALGREENS 03912

Laboratory Demographics

  • CLIA Code: 03D2013016
  • Facility Name: WALGREENS 03912
  • Facility Address: 29660 N TATUM BLVD
    CAVE CREEK, AZ
    ZIP 85331
  • Facility Phone: 480 473-0584
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FARRELL KEAL
  • NPI Number: 1215942560
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2013016
LAB Type Pharmacy
Facility Name WALGREENS 03912
Street 29660 N TATUM BLVD
City CAVE CREEK
State AZ
ZIP 85331
Phone 480 473-0584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director FARRELL KEAL

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