03D2133160 CLIA NUMBER - WALMART PHARMACY 10-5626

Laboratory Demographics

  • CLIA Code: 03D2133160
  • Facility Name: WALMART PHARMACY 10-5626
  • Facility Address: 1260 E TUCSON MARKETPLACE BLVD
    TUCSON, AZ
    ZIP 85713
  • Facility Phone: 520 917-3105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HERIBERTO V. DUARTE
  • NPI Number: 1841693462
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2133160
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5626
Street 1260 E TUCSON MARKETPLACE BLVD
City TUCSON
State AZ
ZIP 85713
Phone 520 917-3105
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 HERIBERTO V. DUARTE

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