03D2067441 CLIA NUMBER - WALGREENS #07041

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Laboratory Demographics

CLIA Number: 03D2067441

Facility Name: WALGREENS #07041

Facility Address:
9184 E VALENCIA RD
TUCSON, AZ
ZIP 85747
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Facility Phone Number: 520 574-8328

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1326053687

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	03D2067441
LAB Type	Pharmacy
Facility Name	WALGREENS #07041
Street	9184 E VALENCIA RD
City	TUCSON
State	AZ
ZIP	85747
Phone	520 574-8328
CertificateType	4
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Waiver

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