03D2072295 CLIA NUMBER - WALGREENS 02611

Laboratory Demographics

  • CLIA Code: 03D2072295
  • Facility Name: WALGREENS 02611
  • Facility Address: 1150 W 8TH ST
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 783-6834
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBBIE WEE
  • NPI Number: 1437164779
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2072295
LAB Type Pharmacy
Facility Name WALGREENS 02611
Street 1150 W 8TH ST
City YUMA
State AZ
ZIP 85364
Phone 928 783-6834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2023
Certificate Expiration Date 8/10/2025
Facility Type Pharmacy
Lab Director REBBIE WEE

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This page was last updated on: 6/4/2025