03D2063810 CLIA NUMBER - WALGREENS #06806

Laboratory Demographics

  • CLIA Code: 03D2063810
  • Facility Name: WALGREENS #06806
  • Facility Address: 17088 W BELL RD
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 544-0667
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN A. HRENIUC
  • NPI Number: 1578579215
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063810
LAB Type Pharmacy
Facility Name WALGREENS #06806
Street 17088 W BELL RD
City SURPRISE
State AZ
ZIP 85374
Phone 623 544-0667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director BRIAN A. HRENIUC

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