03D2063863 CLIA NUMBER - WALGREENS #07663

Laboratory Demographics

  • CLIA Code: 03D2063863
  • Facility Name: WALGREENS #07663
  • Facility Address: 8280 W LOWER BUCKEYE RD
    PHOENIX, AZ
    ZIP 85043
  • Facility Phone: 623 936-6388
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL HOLMES
  • NPI Number: 1871508135
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063863
LAB Type Pharmacy
Facility Name WALGREENS #07663
Street 8280 W LOWER BUCKEYE RD
City PHOENIX
State AZ
ZIP 85043
Phone 623 936-6388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2023
Certificate Expiration Date 7/13/2025
Facility Type Pharmacy
Lab Director MICHAEL HOLMES

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This page was last updated on: 6/4/2025