03D2133068 CLIA NUMBER - WALMART PHARMACY 10-1612

Laboratory Demographics

  • CLIA Code: 03D2133068
  • Facility Name: WALMART PHARMACY 10-1612
  • Facility Address: 1650 W VALENCIA RD
    TUCSON, AZ
    ZIP 85746
  • Facility Phone: 520 573-3167
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES ORIDO
  • NPI Number: 1154348365
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2133068
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1612
Street 1650 W VALENCIA RD
City TUCSON
State AZ
ZIP 85746
Phone 520 573-3167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2023
Certificate Expiration Date 7/4/2025
Facility Type Pharmacy
Lab Director CHARLES ORIDO

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