03D2061510 CLIA NUMBER - WALGREENS #05568

Laboratory Demographics

  • CLIA Code: 03D2061510
  • Facility Name: WALGREENS #05568
  • Facility Address: 10707 W PEORIA AVE
    SUN CITY, AZ
    ZIP 85351
  • Facility Phone: 623 974-3603
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IOANA GROZAV
  • NPI Number: 1285640839
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2061510
LAB Type Pharmacy
Facility Name WALGREENS #05568
Street 10707 W PEORIA AVE
City SUN CITY
State AZ
ZIP 85351
Phone 623 974-3603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director IOANA GROZAV

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