03D2054241 CLIA NUMBER - WALGREENS #06128

Laboratory Demographics

  • CLIA Code: 03D2054241
  • Facility Name: WALGREENS #06128
  • Facility Address: 19003 N R H JOHNSON BLVD
    SUN CITY WEST, AZ
    ZIP 85375
  • Facility Phone: 623 584-3002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSI L. GIACALONE
  • NPI Number: 1528074986
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2054241
LAB Type Pharmacy
Facility Name WALGREENS #06128
Street 19003 N R H JOHNSON BLVD
City SUN CITY WEST
State AZ
ZIP 85375
Phone 623 584-3002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Pharmacy
Lab Director KELSI L. GIACALONE

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