CLIA lab
CLIA 03D2063054: Walgreens #05701
Mesa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2063054 belongs to Walgreens #05701 in Mesa, AZ.
Certificate of Waiver, effective October 18, 2025, expires October 17, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 18, 2025
- Certificate expiration
- October 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2013
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D2063054
- Lab name
- Walgreens #05701
- Address
- 1158 S Crismon Rd, Mesa, AZ 85208
- Phone
- (480) 358-9642
- Fax
- (480) 380-0705
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- A To Z DermatologyCertificate of Registration, Physician office03D2160720
- Aap Dermatology & Cosmetic SurgeryCertificate of Compliance, Physician office03D0529436
- Active Recovery Care, PLLCCertificate of Waiver, Other practitioner03D2175338
- Adelante Healthcare MesaCertificate of Waiver, Federally qualified health center03D0663059
- Advance Home Health Care LLCCertificate of Waiver, Home health agency03D2097527
- Advanced Family Healthcare PLLCCertificate of Waiver, Physician office03D2083155
- Advanced Injury Solutions PLLCCertificate of Waiver, Ambulatory surgery center03D2342127
- Advanced Pain ManagementCertificate of Waiver, Physician office03D2053465
Related
Questions
What is the CLIA number for Walgreens #05701 in Mesa?
03D2063054, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #05701 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2063054 expire?
The CMS file lists October 17, 2027 as the certificate expiration date; the certificate took effect October 18, 2025.