03D2063836 CLIA NUMBER - WALGREENS #06026

Laboratory Demographics

  • CLIA Code: 03D2063836
  • Facility Name: WALGREENS #06026
  • Facility Address: 3624 N POWER RD
    MESA, AZ
    ZIP 85215
  • Facility Phone: 480 924-3797
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN C. PHILLIPS
  • NPI Number: 1174538425
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063836
LAB Type Pharmacy
Facility Name WALGREENS #06026
Street 3624 N POWER RD
City MESA
State AZ
ZIP 85215
Phone 480 924-3797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Pharmacy
Lab Director RYAN C. PHILLIPS

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