03D2062298 CLIA NUMBER - WALGREENS #03669

Laboratory Demographics

  • CLIA Code: 03D2062298
  • Facility Name: WALGREENS #03669
  • Facility Address: 10324 E RIGGS RD
    SUN LAKES, AZ
    ZIP 85248
  • Facility Phone: 480 895-0761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS LESTER
  • NPI Number: 1710992052
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2062298
LAB Type Pharmacy
Facility Name WALGREENS #03669
Street 10324 E RIGGS RD
City SUN LAKES
State AZ
ZIP 85248
Phone 480 895-0761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director TRAVIS LESTER

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