03D2064486 CLIA NUMBER - WALGREENS #05851

Laboratory Demographics

  • CLIA Code: 03D2064486
  • Facility Name: WALGREENS #05851
  • Facility Address: 5011 W UNION HILLS DR
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 896-0257
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE MARIE CHRISTOFFERSON
  • NPI Number: 1831105238
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2064486
LAB Type Pharmacy
Facility Name WALGREENS #05851
Street 5011 W UNION HILLS DR
City GLENDALE
State AZ
ZIP 85308
Phone 602 896-0257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Pharmacy
Lab Director NICOLE MARIE CHRISTOFFERSON

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