03D2158385 CLIA NUMBER - WALMART PHARMACY 10-5304

Laboratory Demographics

  • CLIA Code: 03D2158385
  • Facility Name: WALMART PHARMACY 10-5304
  • Facility Address: 1916 S LINDSAY RD
    MESA, AZ
    ZIP 85204
  • Facility Phone: 480 892-6772
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEHULKUMAR R. LAD
  • NPI Number: 1689693665
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2158385
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5304
Street 1916 S LINDSAY RD
City MESA
State AZ
ZIP 85204
Phone 480 892-6772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Pharmacy
Lab Director MEHULKUMAR R. LAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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