03D2062119 CLIA NUMBER - WALGREENS #10998

Laboratory Demographics

  • CLIA Code: 03D2062119
  • Facility Name: WALGREENS #10998
  • Facility Address: 2483 E FLORENCE BLVD
    CASA GRANDE, AZ
    ZIP 85194
  • Facility Phone: 520 836-1185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENT L. SHIELDS
  • NPI Number: 1376797118
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director BRENT L. SHIELDS

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