03D2060148 CLIA NUMBER - WALGREENS #11181

Laboratory Demographics

  • CLIA Code: 03D2060148
  • Facility Name: WALGREENS #11181
  • Facility Address: 5975 W RAY RD
    CHANDLER, AZ
    ZIP 85226
  • Facility Phone: 480 214-9120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID MOTTONEN
  • NPI Number: 1043472103
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2060148
LAB Type Pharmacy
Facility Name WALGREENS #11181
Street 5975 W RAY RD
City CHANDLER
State AZ
ZIP 85226
Phone 480 214-9120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director DAVID MOTTONEN

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