CLIA lab

CLIA 03D2063105: Walgreens #09179

Laveen, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2063105 belongs to Walgreens #09179 in Laveen, AZ.

Certificate of Waiver, effective May 17, 2025, expires May 16, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 17, 2025
Certificate expiration
May 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 26, 2013
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
03D2063105
Lab name
Walgreens #09179
Address
5115 W Baseline Rd, Laveen, AZ 85339
Phone
(602) 283-1603
Fax
(602) 283-1607

Annual test volume the lab reported

Waived tests
12,775

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walgreens #09179 in Laveen?

03D2063105, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #09179 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2063105 expire?

The CMS file lists May 16, 2027 as the certificate expiration date; the certificate took effect May 17, 2025.

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