03D2062089 CLIA NUMBER - WALGREENS #04376

Laboratory Demographics

  • CLIA Code: 03D2062089
  • Facility Name: WALGREENS #04376
  • Facility Address: 1825 E WARNER RD
    TEMPE, AZ
    ZIP 85284
  • Facility Phone: 480 820-9984
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: UYENMINH T. DAO
  • NPI Number: 1497760730
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2062089
LAB Type Pharmacy
Facility Name WALGREENS #04376
Street 1825 E WARNER RD
City TEMPE
State AZ
ZIP 85284
Phone 480 820-9984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director UYENMINH T. DAO

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