03D2188502 CLIA NUMBER - NATIONWIDE COMPOUNDING RX, LLC

Laboratory Demographics

  • CLIA Code: 03D2188502
  • Facility Name: NATIONWIDE COMPOUNDING RX, LLC
  • Facility Address: 14000 N HAYDEN RD STE 104
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 499-8379
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUSTIN R. LUCHT
  • NPI Number: 1770023574
  • Taxonomy: 3336C0004X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2188502
LAB Type Pharmacy
Facility Name NATIONWIDE COMPOUNDING RX, LLC
Street 14000 N HAYDEN RD STE 104
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 499-8379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Pharmacy
Lab Director AUSTIN R. LUCHT

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: 9/29/2025