03D2064153 CLIA NUMBER - WALGREENS #10684

Laboratory Demographics

  • CLIA Code: 03D2064153
  • Facility Name: WALGREENS #10684
  • Facility Address: 13542 E COLOSSAL CAVE RD
    VAIL, AZ
    ZIP 85641
  • Facility Phone: 520 232-2763
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANICE A. WOODS
  • NPI Number: 1164676995
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2064153
LAB Type Pharmacy
Facility Name WALGREENS #10684
Street 13542 E COLOSSAL CAVE RD
City VAIL
State AZ
ZIP 85641
Phone 520 232-2763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director JANICE A. WOODS

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