03D2030111 CLIA NUMBER - WALGREENS #02429

Laboratory Demographics

  • CLIA Code: 03D2030111
  • Facility Name: WALGREENS #02429
  • Facility Address: 1995 W THATCHER BLVD
    SAFFORD, AZ
    ZIP 85546
  • Facility Phone: 928 428-5092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE X. CAO
  • NPI Number: 1134134497
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director JACQUELINE X. CAO

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