03D2096228 CLIA NUMBER - FRY'S FOOD AND DRUG #43

Laboratory Demographics

  • CLIA Code: 03D2096228
  • Facility Name: FRY'S FOOD AND DRUG #43
  • Facility Address: 2700 W BASELINE RD
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 602 438-1756
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE SPARK
  • NPI Number: 1366483158
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2096228
LAB Type Pharmacy
Facility Name FRY'S FOOD AND DRUG #43
Street 2700 W BASELINE RD
City TEMPE
State AZ
ZIP 85283
Phone 602 438-1756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2023
Certificate Expiration Date 5/18/2025
Facility Type Pharmacy
Lab Director STEPHANIE SPARK

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This page was last updated on: 3/20/2025