03D2064509 CLIA NUMBER - WALGREEN ARIZONA DRUG CO

Laboratory Demographics

  • CLIA Code: 03D2064509
  • Facility Name: WALGREEN ARIZONA DRUG CO
  • Facility Address: 1130 W SOUTHERN AVE
    MESA, AZ
    ZIP 85210
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: NICOLE M. CHRISTOFFERSON
  • NPI Number: 1689689911
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2064509
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREEN ARIZONA DRUG CO
Street 1130 W SOUTHERN AVE
City MESA
State AZ
ZIP 85210
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director NICOLE M. CHRISTOFFERSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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