03D2062119 CLIA NUMBER - WALGREENS #10998

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Laboratory Demographics

CLIA Number: 03D2062119

Facility Name: WALGREENS #10998

Facility Address:
2483 E FLORENCE BLVD
CASA GRANDE, AZ
ZIP 85194
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Facility Phone Number: 520 836-1185

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1376797118

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	03D2062119
LAB Type	Pharmacy
Facility Name	WALGREENS #10998
Street	2483 E FLORENCE BLVD
City	CASA GRANDE
State	AZ
ZIP	85194
Phone	520 836-1185
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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