03D2011962 CLIA NUMBER - WALGREENS #07209

Laboratory Demographics

  • CLIA Code: 03D2011962
  • Facility Name: WALGREENS #07209
  • Facility Address: 3800 W INA RD
    TUCSON, AZ
    ZIP 85741
  • Facility Phone: 520 744-4708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA A. SELLNER
  • NPI Number: 1619982949
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011962
LAB Type Pharmacy
Facility Name WALGREENS #07209
Street 3800 W INA RD
City TUCSON
State AZ
ZIP 85741
Phone 520 744-4708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Pharmacy
Lab Director LISA A. SELLNER

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