03D2158519 CLIA NUMBER - WALMART PHARMACY 10-5031

Laboratory Demographics

  • CLIA Code: 03D2158519
  • Facility Name: WALMART PHARMACY 10-5031
  • Facility Address: 8280 N CORTARO RD
    TUCSON, AZ
    ZIP 85743
  • Facility Phone: 520 744-6604
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN J. SPENCER
  • NPI Number: 1487672341
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158519
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5031
Street 8280 N CORTARO RD
City TUCSON
State AZ
ZIP 85743
Phone 520 744-6604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Pharmacy
Lab Director BRYAN J. SPENCER

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