03D2072437 CLIA NUMBER - WALGREENS #09057

Laboratory Demographics

  • CLIA Code: 03D2072437
  • Facility Name: WALGREENS #09057
  • Facility Address: 18433 N 19TH AVE
    PHOENIX, AZ
    ZIP 85023
  • Facility Phone: 623 582-9894
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARSEN MYSLLINJ
  • NPI Number: 1669408795
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2072437
LAB Type Pharmacy
Facility Name WALGREENS #09057
Street 18433 N 19TH AVE
City PHOENIX
State AZ
ZIP 85023
Phone 623 582-9894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director ARSEN MYSLLINJ

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