03D2008143 CLIA NUMBER - WALGREENS #06582

Laboratory Demographics

  • CLIA Code: 03D2008143
  • Facility Name: WALGREENS #06582
  • Facility Address: 9230 E MAIN STREET
    MESA, AZ
    ZIP 85207
  • Facility Phone: 480 380-0087
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD B. FRANZEN
  • NPI Number: 1629157557
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2008143
LAB Type Pharmacy
Facility Name WALGREENS #06582
Street 9230 E MAIN STREET
City MESA
State AZ
ZIP 85207
Phone 480 380-0087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director RICHARD B. FRANZEN

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