03D2063819 CLIA NUMBER - WALGREENS #07387

Laboratory Demographics

  • CLIA Code: 03D2063819
  • Facility Name: WALGREENS #07387
  • Facility Address: 10710 W MCDOWELL RD
    AVONDALE, AZ
    ZIP 85392
  • Facility Phone: 623 936-7234
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACIE L. ELLIOT WOODY
  • NPI Number: 1922014661
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063819
LAB Type Pharmacy
Facility Name WALGREENS #07387
Street 10710 W MCDOWELL RD
City AVONDALE
State AZ
ZIP 85392
Phone 623 936-7234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director STACIE L. ELLIOT WOODY

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