03D2064173 CLIA NUMBER - WALGREENS 09175

Laboratory Demographics

  • CLIA Code: 03D2064173
  • Facility Name: WALGREENS 09175
  • Facility Address: 23477 W YUMA RD
    BUCKEYE, AZ
    ZIP 85326
  • Facility Phone: 623 337-9161
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THAO M. NGUYEN
  • NPI Number: 1740295005
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2064173
LAB Type Pharmacy
Facility Name WALGREENS 09175
Street 23477 W YUMA RD
City BUCKEYE
State AZ
ZIP 85326
Phone 623 337-9161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Pharmacy
Lab Director THAO M. NGUYEN

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