03D2064499 CLIA NUMBER - WALGREENS #15206

Laboratory Demographics

  • CLIA Code: 03D2064499
  • Facility Name: WALGREENS #15206
  • Facility Address: 2610 E ROUTE 66
    FLAGSTAFF, AZ
    ZIP 86004
  • Facility Phone: 928 773-1155
  • Facility Type: Other - COVID-19 TESTING SITE
  • Facility Type: Waiver
  • Lab Director: NATHANIEL W. GREEN
  • NPI Number: 1114932456
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2064499
LAB Type Other - COVID-19 TESTING SITE
Facility Name WALGREENS #15206
Street 2610 E ROUTE 66
City FLAGSTAFF
State AZ
ZIP 86004
Phone 928 773-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Other - COVID-19 TESTING SITE
Lab Director NATHANIEL W. GREEN

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