03D2068486 CLIA NUMBER - WALGREENS #09742

Laboratory Demographics

  • CLIA Code: 03D2068486
  • Facility Name: WALGREENS #09742
  • Facility Address: 2491 W 24TH ST
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 341-0589
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT ZVAVAMWE
  • NPI Number: 1336155704
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2068486
LAB Type Pharmacy
Facility Name WALGREENS #09742
Street 2491 W 24TH ST
City YUMA
State AZ
ZIP 85364
Phone 928 341-0589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director ROBERT ZVAVAMWE

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