03D2068557 CLIA NUMBER - WALGREENS #07623

Laboratory Demographics

  • CLIA Code: 03D2068557
  • Facility Name: WALGREENS #07623
  • Facility Address: 1959 N GRAND AVE
    NOGALES, AZ
    ZIP 85621
  • Facility Phone: 520 281-4398
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH L. COIL
  • NPI Number: 1205841541
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2068557
LAB Type Pharmacy
Facility Name WALGREENS #07623
Street 1959 N GRAND AVE
City NOGALES
State AZ
ZIP 85621
Phone 520 281-4398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Pharmacy
Lab Director JOSEPH L. COIL

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