03D2085759 CLIA NUMBER - WALGREENS #05039

Laboratory Demographics

  • CLIA Code: 03D2085759
  • Facility Name: WALGREENS #05039
  • Facility Address: 746 W UNIVERSITY DRIVE
    MESA, AZ
    ZIP 85201
  • Facility Phone: 480 688-6350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEE J. BARTES
  • NPI Number: 1396751707
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2085759
LAB Type Pharmacy
Facility Name WALGREENS #05039
Street 746 W UNIVERSITY DRIVE
City MESA
State AZ
ZIP 85201
Phone 480 688-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director LEE J. BARTES

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