03D2030111 CLIA NUMBER - WALGREENS #02429

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Laboratory Demographics

CLIA Number: 03D2030111

Facility Name: WALGREENS #02429

Facility Address:
1995 W THATCHER BLVD
SAFFORD, AZ
ZIP 85546
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Facility Phone Number: 928 428-5092

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134134497

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	03D2030111
LAB Type	Pharmacy
Facility Name	WALGREENS #02429
Street	1995 W THATCHER BLVD
City	SAFFORD
State	AZ
ZIP	85546
Phone	928 428-5092
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024