03D2063131 CLIA NUMBER - WALGREENS #03728

Laboratory Demographics

  • CLIA Code: 03D2063131
  • Facility Name: WALGREENS #03728
  • Facility Address: 7059 E BASELINE RD
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 830-1554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL L. HUYNH
  • NPI Number: 1043225394
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063131
LAB Type Pharmacy
Facility Name WALGREENS #03728
Street 7059 E BASELINE RD
City MESA
State AZ
ZIP 85209
Phone 480 830-1554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Pharmacy
Lab Director DANIEL L. HUYNH

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