03D2133079 CLIA NUMBER - WALMART PHARMACY 10-3314

Laboratory Demographics

  • CLIA Code: 03D2133079
  • Facility Name: WALMART PHARMACY 10-3314
  • Facility Address: 7450 W GLENDALE AVE
    GLENDALE, AZ
    ZIP 85303
  • Facility Phone: 623 915-2639
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: QUANG NGUYEN
  • NPI Number: 1982621355
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2133079
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3314
Street 7450 W GLENDALE AVE
City GLENDALE
State AZ
ZIP 85303
Phone 623 915-2639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Pharmacy
Lab Director QUANG NGUYEN

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This page was last updated on: 9/29/2025