03D2069962 CLIA NUMBER - WALGREENS #01899

Laboratory Demographics

  • CLIA Code: 03D2069962
  • Facility Name: WALGREENS #01899
  • Facility Address: 9495 E SPEEDWAY BLVD
    TUCSON, AZ
    ZIP 85710
  • Facility Phone: 520 290-4143
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFANY MENDOLA
  • NPI Number: 1457367823
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2069962
LAB Type Pharmacy
Facility Name WALGREENS #01899
Street 9495 E SPEEDWAY BLVD
City TUCSON
State AZ
ZIP 85710
Phone 520 290-4143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director TIFANY MENDOLA

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