03D2063112 CLIA NUMBER - WALGREENS #05775

Laboratory Demographics

  • CLIA Code: 03D2063112
  • Facility Name: WALGREENS #05775
  • Facility Address: 8309 W GLENDALE AVE
    GLENDALE, AZ
    ZIP 85305
  • Facility Phone: 623 772-5547
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FELICIA MUNOZ
  • NPI Number: 1265447510
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063112
LAB Type Pharmacy
Facility Name WALGREENS #05775
Street 8309 W GLENDALE AVE
City GLENDALE
State AZ
ZIP 85305
Phone 623 772-5547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2023
Certificate Expiration Date 7/13/2025
Facility Type Pharmacy
Lab Director FELICIA MUNOZ

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This page was last updated on: 6/4/2025