03D2111630 CLIA NUMBER - FRY'S PHARMACY #667

Laboratory Demographics

  • CLIA Code: 03D2111630
  • Facility Name: FRY'S PHARMACY #667
  • Facility Address: 13830 W CAMELBACK RD
    LITCHFIELD PARK, AZ
    ZIP 85340
  • Facility Phone: 623 907-4932
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WHITNEY RICE
  • NPI Number: 1881055143
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2111630
LAB Type Pharmacy
Facility Name FRY'S PHARMACY #667
Street 13830 W CAMELBACK RD
City LITCHFIELD PARK
State AZ
ZIP 85340
Phone 623 907-4932
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Pharmacy
Lab Director WHITNEY RICE

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: 6/4/2025