03D2062109 CLIA NUMBER - WALGREENS #06129

Laboratory Demographics

  • CLIA Code: 03D2062109
  • Facility Name: WALGREENS #06129
  • Facility Address: 2021 N PINAL AVE
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 520 876-0265
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW T. TAYLOR
  • NPI Number: 1114933520
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2062109
LAB Type Pharmacy
Facility Name WALGREENS #06129
Street 2021 N PINAL AVE
City CASA GRANDE
State AZ
ZIP 85122
Phone 520 876-0265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director MATTHEW T. TAYLOR

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