03D2013053 CLIA NUMBER - WALGREENS #06692

Laboratory Demographics

  • CLIA Code: 03D2013053
  • Facility Name: WALGREENS #06692
  • Facility Address: 4766 E QUEEN CREEK RD
    GILBERT, AZ
    ZIP 85297
  • Facility Phone: 480 988-1908
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW SO
  • NPI Number: 1780699041
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2013053
LAB Type Pharmacy
Facility Name WALGREENS #06692
Street 4766 E QUEEN CREEK RD
City GILBERT
State AZ
ZIP 85297
Phone 480 988-1908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director ANDREW SO

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