03D2063849 CLIA NUMBER - WALGREENS #03463

Laboratory Demographics

  • CLIA Code: 03D2063849
  • Facility Name: WALGREENS #03463
  • Facility Address: 1415 W RIVER RD
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 293-2995
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENNET J. JORDISON
  • NPI Number: 1407862873
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2063849
LAB Type Pharmacy
Facility Name WALGREENS #03463
Street 1415 W RIVER RD
City TUCSON
State AZ
ZIP 85704
Phone 520 293-2995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2023
Certificate Expiration Date 7/22/2025
Facility Type Pharmacy
Lab Director BENNET J. JORDISON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025