03D2158388 CLIA NUMBER - WALMART PHARMACY 10-5725

Laboratory Demographics

  • CLIA Code: 03D2158388
  • Facility Name: WALMART PHARMACY 10-5725
  • Facility Address: 831 E FORT LOWELL ROAD
    TUCSON, AZ
    ZIP 85719
  • Facility Phone: 520 719-6340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROOHIEH PARSA
  • NPI Number: 1104364157
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158388
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5725
Street 831 E FORT LOWELL ROAD
City TUCSON
State AZ
ZIP 85719
Phone 520 719-6340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Pharmacy
Lab Director ROOHIEH PARSA

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