03D2063114 CLIA NUMBER - WALGREENS 00809

Laboratory Demographics

  • CLIA Code: 03D2063114
  • Facility Name: WALGREENS 00809
  • Facility Address: 8911 N 7TH ST
    PHOENIX, AZ
    ZIP 85020
  • Facility Phone: 602 944-9635
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BOBBIE LE
  • NPI Number: 1508872987
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063114
LAB Type Pharmacy
Facility Name WALGREENS 00809
Street 8911 N 7TH ST
City PHOENIX
State AZ
ZIP 85020
Phone 602 944-9635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Pharmacy
Lab Director BOBBIE LE

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