03D2065367 CLIA NUMBER - WALGREENS #03427

Laboratory Demographics

CLIA Number: 03D2065367

Facility Name: WALGREENS #03427

Facility Address:
7448 W THUNDERBIRD RD
PEORIA, AZ
ZIP 85381
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Facility Phone Number: 623 979-0558

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1770598013

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 03D2065367
LAB Type Pharmacy
Facility Name WALGREENS #03427
Street 7448 W THUNDERBIRD RD
City PEORIA
State AZ
ZIP 85381
Phone 623 979-0558
CertificateType 4
CertificateEffectiveDate 5/14/2023
CertificateExpirationDate 5/13/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024