03D2063817 CLIA NUMBER - WALGREENS #06491

Laboratory Demographics

  • CLIA Code: 03D2063817
  • Facility Name: WALGREENS #06491
  • Facility Address: 1351 W PRINCE RD
    TUCSON, AZ
    ZIP 85705
  • Facility Phone: 520 887-7154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EUN J. KIM
  • NPI Number: 1720094121
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063817
LAB Type Pharmacy
Facility Name WALGREENS #06491
Street 1351 W PRINCE RD
City TUCSON
State AZ
ZIP 85705
Phone 520 887-7154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Pharmacy
Lab Director EUN J. KIM

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This page was last updated on: 6/4/2025