03D2063061 CLIA NUMBER - WALGREENS #06440

Laboratory Demographics

  • CLIA Code: 03D2063061
  • Facility Name: WALGREENS #06440
  • Facility Address: 6951 S KINGS RANCH
    GOLD CANYON, AZ
    ZIP 85118
  • Facility Phone: 480 288-7208
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUNYAN HE
  • NPI Number: 1083629331
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063061
LAB Type Pharmacy
Facility Name WALGREENS #06440
Street 6951 S KINGS RANCH
City GOLD CANYON
State AZ
ZIP 85118
Phone 480 288-7208
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 JUNYAN HE

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