03D2056554 CLIA NUMBER - WALGREENS #15363

Laboratory Demographics

  • CLIA Code: 03D2056554
  • Facility Name: WALGREENS #15363
  • Facility Address: 4655 E SUNRISE DR
    TUCSON, AZ
    ZIP 85718
  • Facility Phone: 520 917-0556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAROL CANDLISH
  • NPI Number: 1740525559
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2056554
LAB Type Pharmacy
Facility Name WALGREENS #15363
Street 4655 E SUNRISE DR
City TUCSON
State AZ
ZIP 85718
Phone 520 917-0556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director KAROL CANDLISH

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