03D2064134 CLIA NUMBER - WALGREENS #07104

Laboratory Demographics

  • CLIA Code: 03D2064134
  • Facility Name: WALGREENS #07104
  • Facility Address: 1145 S HARRISON RD
    TUCSON, AZ
    ZIP 85748
  • Facility Phone: 520 296-8427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICH S. EIKENBERRY
  • NPI Number: 1487660866
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2064134
LAB Type Pharmacy
Facility Name WALGREENS #07104
Street 1145 S HARRISON RD
City TUCSON
State AZ
ZIP 85748
Phone 520 296-8427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director ERICH S. EIKENBERRY

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: 9/29/2025