03D2012004 CLIA NUMBER - WALGREENS #04103

Laboratory Demographics

  • CLIA Code: 03D2012004
  • Facility Name: WALGREENS #04103
  • Facility Address: 10405 N LA CANADA DR
    ORO VALLEY, AZ
    ZIP 85737
  • Facility Phone: 520 297-5934
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN L. TRAN
  • NPI Number: 1033125406
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2012004
LAB Type Pharmacy
Facility Name WALGREENS #04103
Street 10405 N LA CANADA DR
City ORO VALLEY
State AZ
ZIP 85737
Phone 520 297-5934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director KEVIN L. TRAN

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