03D2072435 CLIA NUMBER - WALGREENS #03767

Laboratory Demographics

  • CLIA Code: 03D2072435
  • Facility Name: WALGREENS #03767
  • Facility Address: 2737 E MCKELLIPS RD
    MESA, AZ
    ZIP 85213
  • Facility Phone: 480 835-0970
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MASHAL DURRANI
  • NPI Number: 1528073855
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2072435
LAB Type Pharmacy
Facility Name WALGREENS #03767
Street 2737 E MCKELLIPS RD
City MESA
State AZ
ZIP 85213
Phone 480 835-0970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director MASHAL DURRANI

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