This works as long as the data to be formatted does not start on row 1 and the values in cell C2 is not the same as the value of cell C3.
So, it looks like your data and setup meet these conditions.
Select the entire range to format A3:D25 starting from cell A3.
In conditional formatting, use the "Formula Option" and use this formula:
=MOD(SUMPRODUCT(--($C$2:$C2<>$C$3:$C3)),2)
Here are the results you can expect:
37 |
AZ7 |
AZ |
7 |
38 |
AZ8 |
AZ |
8 |
38 |
AZ8 |
AZ |
8 |
511 |
CA11 |
CA |
11 |
547 |
CA47 |
CA |
47 |
67 |
CO7 |
CO |
7 |
74 |
CT4 |
CT |
4 |
75 |
CT5 |
CT |
5 |
1012 |
GA12 |
GA |
12 |
102 |
GA2 |
GA |
2 |
111 |
HI1 |
HI |
1 |
151 |
IA1 |
IA |
1 |
152 |
IA2 |
IA |
2 |
153 |
IA3 |
IA |
3 |
142 |
IN2 |
IN |
2 |
173 |
KY3 |
KY |
3 |
176 |
KY6 |
KY |
6 |
176 |
KY6 |
KY |
6 |
2110 |
MA10 |
MA |
10 |
212 |
MA2 |
MA |
2 |
214 |
MA4 |
MA |
4 |
215 |
MA5 |
MA |
5 |
216 |
MA6 |
MA |
6 |