03D2063818 CLIA NUMBER - WALGREENS 04909

Laboratory Demographics

  • CLIA Code: 03D2063818
  • Facility Name: WALGREENS 04909
  • Facility Address: 2921 N 83RD AVE
    PHOENIX, AZ
    ZIP 85033
  • Facility Phone: 623 849-9300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOQUYEN T. HUYNH
  • NPI Number: 1164438800
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063818
LAB Type Pharmacy
Facility Name WALGREENS 04909
Street 2921 N 83RD AVE
City PHOENIX
State AZ
ZIP 85033
Phone 623 849-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director TOQUYEN T. HUYNH

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