03D2063868 CLIA NUMBER - WALGREENS 03097

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Laboratory Demographics

CLIA Number: 03D2063868

Facility Name: WALGREENS 03097

Facility Address:
7115 E TANQUE VERDE RD
TUCSON, AZ
ZIP 85715
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Facility Phone Number: 520 886-8257

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184639411

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	03D2063868
LAB Type	Pharmacy
Facility Name	WALGREENS 03097
Street	7115 E TANQUE VERDE RD
City	TUCSON
State	AZ
ZIP	85715
Phone	520 886-8257
CertificateType	4
CertificateEffectiveDate	9/26/2023
CertificateExpirationDate	9/25/2025
FacilityType	Waiver

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