03D2065361 CLIA NUMBER - WALGREENS #02963

Laboratory Demographics

  • CLIA Code: 03D2065361
  • Facility Name: WALGREENS #02963
  • Facility Address: 11545 E APACHE TRL
    APACHE JUNCTION, AZ
    ZIP 85120
  • Facility Phone: 480 986-1387
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JABIN A. DAVIS
  • NPI Number: 1174538417
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2065361
LAB Type Pharmacy
Facility Name WALGREENS #02963
Street 11545 E APACHE TRL
City APACHE JUNCTION
State AZ
ZIP 85120
Phone 480 986-1387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director JABIN A. DAVIS

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