03D2159087 CLIA NUMBER - WALMART PHARMACY 10-1291

Laboratory Demographics

  • CLIA Code: 03D2159087
  • Facility Name: WALMART PHARMACY 10-1291
  • Facility Address: 7150 E SPEEDWAY BLVD
    TUCSON, AZ
    ZIP 85710
  • Facility Phone: 520 722-8669
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM EUN
  • NPI Number: 1528085735
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2159087
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1291
Street 7150 E SPEEDWAY BLVD
City TUCSON
State AZ
ZIP 85710
Phone 520 722-8669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director KIM EUN

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