03D2073689 CLIA NUMBER - WALGREENS #03215

Laboratory Demographics

  • CLIA Code: 03D2073689
  • Facility Name: WALGREENS #03215
  • Facility Address: 1935 N POWER RD
    MESA, AZ
    ZIP 85205
  • Facility Phone: 480 985-3658
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDY Y. KAO
  • NPI Number: 1366458002
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073689
LAB Type Pharmacy
Facility Name WALGREENS #03215
Street 1935 N POWER RD
City MESA
State AZ
ZIP 85205
Phone 480 985-3658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Pharmacy
Lab Director BRANDY Y. KAO

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