03D2158700 CLIA NUMBER - WALMART PHARMACY 10-3833

Laboratory Demographics

  • CLIA Code: 03D2158700
  • Facility Name: WALMART PHARMACY 10-3833
  • Facility Address: 1606 S SIGNAL BUTTE RD
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 358-9731
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRADY STEPHENS
  • NPI Number: 1346305398
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158700
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3833
Street 1606 S SIGNAL BUTTE RD
City MESA
State AZ
ZIP 85209
Phone 480 358-9731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Pharmacy
Lab Director BRADY STEPHENS

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