03D2158356 CLIA NUMBER - WALMART PHARMACY #3143

Laboratory Demographics

  • CLIA Code: 03D2158356
  • Facility Name: WALMART PHARMACY #3143
  • Facility Address: 8640 E BROADWAY BLVD
    TUCSON, AZ
    ZIP 85710
  • Facility Phone: 520 329-6871
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNN NGUYEN
  • NPI Number: 1205176310
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158356
LAB Type Pharmacy
Facility Name WALMART PHARMACY #3143
Street 8640 E BROADWAY BLVD
City TUCSON
State AZ
ZIP 85710
Phone 520 329-6871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Pharmacy
Lab Director LYNN NGUYEN

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