03D2063135 CLIA NUMBER - WALGREENS #03184

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Laboratory Demographics

CLIA Number: 03D2063135

Facility Name: WALGREENS #03184

Facility Address:
1585 E GUADALUPE RD
GILBERT, AZ
ZIP 85234
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Facility Phone Number: 480 892-8510

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1437165131

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	03D2063135
LAB Type	Pharmacy
Facility Name	WALGREENS #03184
Street	1585 E GUADALUPE RD
City	GILBERT
State	AZ
ZIP	85234
Phone	480 892-8510
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024