03D2011966 CLIA NUMBER - WALGREENS #06953

Laboratory Demographics

  • CLIA Code: 03D2011966
  • Facility Name: WALGREENS #06953
  • Facility Address: 605 W AJO WAY
    TUCSON, AZ
    ZIP 85713
  • Facility Phone: 520 294-4683
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE I. PAVONE
  • NPI Number: 1760498133
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011966
LAB Type Pharmacy
Facility Name WALGREENS #06953
Street 605 W AJO WAY
City TUCSON
State AZ
ZIP 85713
Phone 520 294-4683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director STEPHANIE I. PAVONE

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