03D2133068 CLIA NUMBER - WALMART PHARMACY 10-1612

Laboratory Demographics

CLIA Number: 03D2133068

Facility Name: WALMART PHARMACY 10-1612

Facility Address:
1650 W VALENCIA RD
TUCSON, AZ
ZIP 85746
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Facility Phone Number: 520 573-3167

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154348365

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	7/5/2023
CertificateExpirationDate	7/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024