03D2111169 CLIA NUMBER - ALBERTSONS PHARMACY #3203

Laboratory Demographics

  • CLIA Code: 03D2111169
  • Facility Name: ALBERTSONS PHARMACY #3203
  • Facility Address: 1350 N SILVERBELL RD
    TUCSON, AZ
    ZIP 85745
  • Facility Phone: 520 622-2979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KWOK HUNG IP
  • NPI Number: 1407211204
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2111169
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #3203
Street 1350 N SILVERBELL RD
City TUCSON
State AZ
ZIP 85745
Phone 520 622-2979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Pharmacy
Lab Director KWOK HUNG IP

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