03D2065128 CLIA NUMBER - WALGREENS #03249

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Laboratory Demographics

CLIA Number: 03D2065128

Facility Name: WALGREENS #03249

Facility Address:
4910 N 1ST AVE
TUCSON, AZ
ZIP 85718
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Facility Phone Number: 520 293-3173

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043225386

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	03D2065128
LAB Type	Pharmacy
Facility Name	WALGREENS #03249
Street	4910 N 1ST AVE
City	TUCSON
State	AZ
ZIP	85718
Phone	520 293-3173
CertificateType	4
CertificateEffectiveDate	6/16/2023
CertificateExpirationDate	6/15/2025
FacilityType	Waiver

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