03D2158697 CLIA NUMBER - WALMART PHARMACY 10-4264

Laboratory Demographics

  • CLIA Code: 03D2158697
  • Facility Name: WALMART PHARMACY 10-4264
  • Facility Address: 7951 N ORACLE RD
    ORO VALLEY, AZ
    ZIP 85704
  • Facility Phone: 920 573-5515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEAUTY FAST
  • NPI Number: 1376637686
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158697
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4264
Street 7951 N ORACLE RD
City ORO VALLEY
State AZ
ZIP 85704
Phone 920 573-5515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Pharmacy
Lab Director BEAUTY FAST

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