03D2064050 CLIA NUMBER - WALGREENS #06065

Laboratory Demographics

  • CLIA Code: 03D2064050
  • Facility Name: WALGREENS #06065
  • Facility Address: 9009 N 67TH AVE
    GLENDALE, AZ
    ZIP 85302
  • Facility Phone: 623 931-5169
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOCELIN Q. PHAN
  • NPI Number: 1275549644
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2064050
LAB Type Pharmacy
Facility Name WALGREENS #06065
Street 9009 N 67TH AVE
City GLENDALE
State AZ
ZIP 85302
Phone 623 931-5169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2023
Certificate Expiration Date 7/11/2025
Facility Type Pharmacy
Lab Director JOCELIN Q. PHAN

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