03D2120921 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2922

Laboratory Demographics

  • CLIA Code: 03D2120921
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2922
  • Facility Address: 7635 N LA CHOLLA BLVD
    TUCSON, AZ
    ZIP 85741
  • Facility Phone: 520 297-2418
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA SELLNER
  • NPI Number: 1215017322
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 03D2120921
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2922
Street 7635 N LA CHOLLA BLVD
City TUCSON
State AZ
ZIP 85741
Phone 520 297-2418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Pharmacy
Lab Director LISA SELLNER

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