03D2064506 CLIA NUMBER - WALGREENS 02398

Laboratory Demographics

  • CLIA Code: 03D2064506
  • Facility Name: WALGREENS 02398
  • Facility Address: 925 W BASELINE RD STE 108
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 480 820-1990
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAZIM T. NASAREDDEN
  • NPI Number: 1972519338
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2064506
LAB Type Pharmacy
Facility Name WALGREENS 02398
Street 925 W BASELINE RD STE 108
City TEMPE
State AZ
ZIP 85283
Phone 480 820-1990
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 HAZIM T. NASAREDDEN

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