03D2063141 CLIA NUMBER - WALGREENS #03003

Laboratory Demographics

  • CLIA Code: 03D2063141
  • Facility Name: WALGREENS #03003
  • Facility Address: 6690 W UNION HILLS DR
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 561-5319
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LOURIES F. EISSA
  • NPI Number: 1881600245
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063141
LAB Type Pharmacy
Facility Name WALGREENS #03003
Street 6690 W UNION HILLS DR
City GLENDALE
State AZ
ZIP 85308
Phone 623 561-5319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director LOURIES F. EISSA

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