03D2070793 CLIA NUMBER - WALGREENS #03591

Laboratory Demographics

  • CLIA Code: 03D2070793
  • Facility Name: WALGREENS #03591
  • Facility Address: 2811 E BROADWAY RD
    MESA, AZ
    ZIP 85204
  • Facility Phone: 480 830-8752
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM S. ADAMSON
  • NPI Number: 1275549917
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2070793
LAB Type Pharmacy
Facility Name WALGREENS #03591
Street 2811 E BROADWAY RD
City MESA
State AZ
ZIP 85204
Phone 480 830-8752
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director WILLIAM S. ADAMSON

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