03D2064171 CLIA NUMBER - WALGREENS #11470

Laboratory Demographics

  • CLIA Code: 03D2064171
  • Facility Name: WALGREENS #11470
  • Facility Address: 25073 W SOUTHERN AVE
    BUCKEYE, AZ
    ZIP 85326
  • Facility Phone: 623 215-1113
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA L. BYRON
  • NPI Number: 1427282516
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2064171
LAB Type Pharmacy
Facility Name WALGREENS #11470
Street 25073 W SOUTHERN AVE
City BUCKEYE
State AZ
ZIP 85326
Phone 623 215-1113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director SARA L. BYRON

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