03D2158719 CLIA NUMBER - WALMART PHARMACY 10-3379

Laboratory Demographics

  • CLIA Code: 03D2158719
  • Facility Name: WALMART PHARMACY 10-3379
  • Facility Address: 2150 E TANGERINE RD
    ORO VALLEY, AZ
    ZIP 85755
  • Facility Phone: 520 544-2668
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT BRYANT
  • NPI Number: 1962658146
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158719
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3379
Street 2150 E TANGERINE RD
City ORO VALLEY
State AZ
ZIP 85755
Phone 520 544-2668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Pharmacy
Lab Director ROBERT BRYANT

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