03D2126862 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6692

Laboratory Demographics

CLIA Number: 03D2126862

Facility Name: SAM'S CLUB PHARMACY 10-6692

Facility Address:
4701 N STONE AVE
TUCSON, AZ
ZIP 85704
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Facility Phone Number: (520) 292-0009

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1124101613

Taxonomy: 156FX1800X - Technician/Technologist

CLIA Record

Field Name	Field Value
CLIA Number	03D2126862
LAB Type	PHARMACY
Facility Name	SAM'S CLUB PHARMACY 10-6692
Street	4701 N STONE AVE
City	TUCSON
State	AZ
ZIP	85704
Phone	(520) 292-0009

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This page was last updated on: 3/23/2022