03D2063861 CLIA NUMBER - WALGREENS #03630

Laboratory Demographics

  • CLIA Code: 03D2063861
  • Facility Name: WALGREENS #03630
  • Facility Address: 9220 N THORNYDALE RD
    TUCSON, AZ
    ZIP 85742
  • Facility Phone: 520 579-9991
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOUT CHAO
  • NPI Number: 1316952666
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063861
LAB Type Pharmacy
Facility Name WALGREENS #03630
Street 9220 N THORNYDALE RD
City TUCSON
State AZ
ZIP 85742
Phone 520 579-9991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director HOUT CHAO

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