03D0999578 CLIA NUMBER - OSCO DRUG #958

Laboratory Demographics

  • CLIA Code: 03D0999578
  • Facility Name: OSCO DRUG #958
  • Facility Address: 325 S POWER RD
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 924-8928
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMUEL MURAGE
  • NPI Number: 1407895881
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D0999578
LAB Type Pharmacy
Facility Name OSCO DRUG #958
Street 325 S POWER RD
City MESA
State AZ
ZIP 85206
Phone 480 924-8928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Pharmacy
Lab Director SAMUEL MURAGE

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