03D2062299 CLIA NUMBER - WALGREENS #09840

Laboratory Demographics

  • CLIA Code: 03D2062299
  • Facility Name: WALGREENS #09840
  • Facility Address: 3111 W HUNT HWY
    QUEEN CREEK, AZ
    ZIP 85142
  • Facility Phone: 480 214-2561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON P. GOMEZ
  • NPI Number: 1790905537
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2062299
LAB Type Pharmacy
Facility Name WALGREENS #09840
Street 3111 W HUNT HWY
City QUEEN CREEK
State AZ
ZIP 85142
Phone 480 214-2561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director JAYSON P. GOMEZ

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