03D2101695 CLIA NUMBER - FRY'S FOOD AND DRUG #628

Laboratory Demographics

  • CLIA Code: 03D2101695
  • Facility Name: FRY'S FOOD AND DRUG #628
  • Facility Address: 3949 E CHANDLER BLVD
    PHOENIX, AZ
    ZIP 85048
  • Facility Phone: 480 706-7373
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VALERIE BOSTEL
  • NPI Number: 1770525313
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2101695
LAB Type Pharmacy
Facility Name FRY'S FOOD AND DRUG #628
Street 3949 E CHANDLER BLVD
City PHOENIX
State AZ
ZIP 85048
Phone 480 706-7373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2023
Certificate Expiration Date 9/7/2025
Facility Type Pharmacy
Lab Director VALERIE BOSTEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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