03D2060148 CLIA NUMBER - WALGREENS #11181

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Laboratory Demographics

CLIA Number: 03D2060148

Facility Name: WALGREENS #11181

Facility Address:
5975 W RAY RD
CHANDLER, AZ
ZIP 85226
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Facility Phone Number: 480 214-9120

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043472103

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	03D2060148
LAB Type	Pharmacy
Facility Name	WALGREENS #11181
Street	5975 W RAY RD
City	CHANDLER
State	AZ
ZIP	85226
Phone	480 214-9120
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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