03D1095568 CLIA NUMBER - WALGREENS #02771

Laboratory Demographics

  • CLIA Code: 03D1095568
  • Facility Name: WALGREENS #02771
  • Facility Address: 1305 S GREENFIELD RD
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 830-9266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDY Y. GRIFFIN
  • NPI Number: 1265447502
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1095568
LAB Type Pharmacy
Facility Name WALGREENS #02771
Street 1305 S GREENFIELD RD
City MESA
State AZ
ZIP 85206
Phone 480 830-9266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director BRANDY Y. GRIFFIN

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