03D2063130 CLIA NUMBER - WALGREENS #06872

Laboratory Demographics

  • CLIA Code: 03D2063130
  • Facility Name: WALGREENS #06872
  • Facility Address: 2930 N 67TH AVE
    PHOENIX, AZ
    ZIP 85033
  • Facility Phone: 623 849-6991
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC A. ALDEN
  • NPI Number: 1760497093
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063130
LAB Type Pharmacy
Facility Name WALGREENS #06872
Street 2930 N 67TH AVE
City PHOENIX
State AZ
ZIP 85033
Phone 623 849-6991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director ERIC A. ALDEN

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