03D2063132 CLIA NUMBER - WALGREENS #06400

Laboratory Demographics

  • CLIA Code: 03D2063132
  • Facility Name: WALGREENS #06400
  • Facility Address: 8030 N 19TH AVE
    PHOENIX, AZ
    ZIP 85021
  • Facility Phone: 602 995-1231
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHNATHAN S. BAILEY
  • NPI Number: 1548275878
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063132
LAB Type Pharmacy
Facility Name WALGREENS #06400
Street 8030 N 19TH AVE
City PHOENIX
State AZ
ZIP 85021
Phone 602 995-1231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director JOHNATHAN S. BAILEY

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