03D2063109 CLIA NUMBER - WALGREENS #10241

Laboratory Demographics

  • CLIA Code: 03D2063109
  • Facility Name: WALGREENS #10241
  • Facility Address: 28516 N EL MIRAGE RD
    PEORIA, AZ
    ZIP 85383
  • Facility Phone: 623 215-8104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN R. MRGUDICH
  • NPI Number: 1568623940
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063109
LAB Type Pharmacy
Facility Name WALGREENS #10241
Street 28516 N EL MIRAGE RD
City PEORIA
State AZ
ZIP 85383
Phone 623 215-8104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director STEVEN R. MRGUDICH

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