03D2133112 CLIA NUMBER - WALMART PHARMACY 4473

Laboratory Demographics

  • CLIA Code: 03D2133112
  • Facility Name: WALMART PHARMACY 4473
  • Facility Address: 2175 W RUTHRAUFF RD
    TUCSON, AZ
    ZIP 85705
  • Facility Phone: 520 292-2549
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAWN MORSE
  • NPI Number: 1710163142
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2133112
LAB Type Pharmacy
Facility Name WALMART PHARMACY 4473
Street 2175 W RUTHRAUFF RD
City TUCSON
State AZ
ZIP 85705
Phone 520 292-2549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Pharmacy
Lab Director SHAWN MORSE

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