03D2062286 CLIA NUMBER - WALGREENS #04018

Laboratory Demographics

  • CLIA Code: 03D2062286
  • Facility Name: WALGREENS #04018
  • Facility Address: 2345 E BASELINE RD
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 892-4978
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW MILLWARD
  • NPI Number: 1083629315
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2062286
LAB Type Pharmacy
Facility Name WALGREENS #04018
Street 2345 E BASELINE RD
City GILBERT
State AZ
ZIP 85234
Phone 480 892-4978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director MATTHEW MILLWARD

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