03D2159012 CLIA NUMBER - WALMART PHARMACY 10-2482

Laboratory Demographics

  • CLIA Code: 03D2159012
  • Facility Name: WALMART PHARMACY 10-2482
  • Facility Address: 857 N DOBSON RD
    MESA, AZ
    ZIP 85201
  • Facility Phone: 480 962-4033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NILESH S. AGRAWAL
  • NPI Number: 1891712014
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2159012
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2482
Street 857 N DOBSON RD
City MESA
State AZ
ZIP 85201
Phone 480 962-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director NILESH S. AGRAWAL

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