03D2056498 CLIA NUMBER - WALGREENS #03769

Laboratory Demographics

  • CLIA Code: 03D2056498
  • Facility Name: WALGREENS #03769
  • Facility Address: 1616 E THOMAS RD
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 263-8307
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER J. GUY
  • NPI Number: 1497760722
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2056498
LAB Type Pharmacy
Facility Name WALGREENS #03769
Street 1616 E THOMAS RD
City PHOENIX
State AZ
ZIP 85016
Phone 602 263-8307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director JENNIFER J. GUY

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