03D2063487 CLIA NUMBER - WALGREENS #06244

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Laboratory Demographics

CLIA Number: 03D2063487

Facility Name: WALGREENS #06244

Facility Address:
4700 E BROADWAY BLVD
TUCSON, AZ
ZIP 85711
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Facility Phone Number: 520 327-7239

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922014323

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	03D2063487
LAB Type	Pharmacy
Facility Name	WALGREENS #06244
Street	4700 E BROADWAY BLVD
City	TUCSON
State	AZ
ZIP	85711
Phone	520 327-7239
CertificateType	4
CertificateEffectiveDate	10/26/2023
CertificateExpirationDate	10/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024