03D2086072 CLIA NUMBER - WALGREENS #12335

Laboratory Demographics

  • CLIA Code: 03D2086072
  • Facility Name: WALGREENS #12335
  • Facility Address: 10825 E BASELINE RD
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 455-6311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY DUNCAN
  • NPI Number: 1861720989
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2086072
LAB Type Pharmacy
Facility Name WALGREENS #12335
Street 10825 E BASELINE RD
City MESA
State AZ
ZIP 85209
Phone 480 455-6311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director LINDSAY DUNCAN

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