03D2013126 CLIA NUMBER - WALGREENS #03048

Laboratory Demographics

  • CLIA Code: 03D2013126
  • Facility Name: WALGREENS #03048
  • Facility Address: 9050 W UNION HILLS DR
    PEORIA, AZ
    ZIP 85382
  • Facility Phone: 623 566-1986
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAUSHIK PATEL
  • NPI Number: 1891700134
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2013126
LAB Type Pharmacy
Facility Name WALGREENS #03048
Street 9050 W UNION HILLS DR
City PEORIA
State AZ
ZIP 85382
Phone 623 566-1986
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director KAUSHIK PATEL

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