03D2013017 CLIA NUMBER - WALGREENS #06060

Laboratory Demographics

  • CLIA Code: 03D2013017
  • Facility Name: WALGREENS #06060
  • Facility Address: 16415 E PALISADES BLVD
    FOUNTAIN HILLS, AZ
    ZIP 85268
  • Facility Phone: 480 837-6748
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHITAL PATEL
  • NPI Number: 1750396099
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2013017
LAB Type Pharmacy
Facility Name WALGREENS #06060
Street 16415 E PALISADES BLVD
City FOUNTAIN HILLS
State AZ
ZIP 85268
Phone 480 837-6748
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Pharmacy
Lab Director SHITAL PATEL

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