03D2111176 CLIA NUMBER - Albertsons Pharmacy #3204

Laboratory Demographics

CLIA Number:
03D2111176

Facility Name:
Albertsons Pharmacy #3204

Facility Address:
1980 Mcculloch Blvd N
Lake Havasu City, AZ
ZIP 86403
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Facility Phone Number:
(928) 854-8281

Facility Type:
PHARMACY

Certificate Type:
Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2111176
LAB Type PHARMACY
Facility Name Albertsons Pharmacy #3204
Street 1980 Mcculloch Blvd N
City Lake Havasu City
State AZ
ZIP 86403
Phone 9288548281

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This page was last updated on: 12/21/2017