03D2013857 CLIA NUMBER - WALGREENS #05090

Laboratory Demographics

  • CLIA Code: 03D2013857
  • Facility Name: WALGREENS #05090
  • Facility Address: 5160 S WHITE MOUNTAIN RD
    SHOW LOW, AZ
    ZIP 85901
  • Facility Phone: 928 532-5502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. ADAMSON
  • NPI Number: 1184639437
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2013857
LAB Type Pharmacy
Facility Name WALGREENS #05090
Street 5160 S WHITE MOUNTAIN RD
City SHOW LOW
State AZ
ZIP 85901
Phone 928 532-5502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director WILLIAM D. ADAMSON

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