03D2013131 CLIA NUMBER - WALGREENS #05222

Laboratory Demographics

  • CLIA Code: 03D2013131
  • Facility Name: WALGREENS #05222
  • Facility Address: 9040 W PEORIA AVE
    PEORIA, AZ
    ZIP 85345
  • Facility Phone: 623 979-2180
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HARITHA C. CHODAY
  • NPI Number: 1215943618
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2013131
LAB Type Pharmacy
Facility Name WALGREENS #05222
Street 9040 W PEORIA AVE
City PEORIA
State AZ
ZIP 85345
Phone 623 979-2180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director HARITHA C. CHODAY

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