03D2061512 CLIA NUMBER - WALGREENS #03602

Laboratory Demographics

  • CLIA Code: 03D2061512
  • Facility Name: WALGREENS #03602
  • Facility Address: 8816 E PINNACLE PEAK RD
    SCOTTSDALE, AZ
    ZIP 85255
  • Facility Phone: 480 473-8965
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOAN CARBAJAL-VICKHAMMER
  • NPI Number: 1952316200
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2061512
LAB Type Pharmacy
Facility Name WALGREENS #03602
Street 8816 E PINNACLE PEAK RD
City SCOTTSDALE
State AZ
ZIP 85255
Phone 480 473-8965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Pharmacy
Lab Director JOAN CARBAJAL-VICKHAMMER

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