03D2019502 CLIA NUMBER - WALGREENS #09186

Laboratory Demographics

  • CLIA Code: 03D2019502
  • Facility Name: WALGREENS #09186
  • Facility Address: 18600 S NOGALES HWY
    GREEN VALLEY, AZ
    ZIP 85614
  • Facility Phone: 520 204-1092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACEE COMSTOCK
  • NPI Number: 1578660890
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2019502
LAB Type Pharmacy
Facility Name WALGREENS #09186
Street 18600 S NOGALES HWY
City GREEN VALLEY
State AZ
ZIP 85614
Phone 520 204-1092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director TRACEE COMSTOCK

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