03D2231786 CLIA NUMBER - WALGREENS #07463

Laboratory Demographics

CLIA Number: 03D2231786

Facility Name: WALGREENS #07463

Facility Address:
525 W VALENCIA RD
TUCSON, AZ
ZIP 85706
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Facility Phone Number: 520 294-0451

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598770851

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 03D2231786
LAB Type Pharmacy
Facility Name WALGREENS #07463
Street 525 W VALENCIA RD
City TUCSON
State AZ
ZIP 85706
Phone 520 294-0451
CertificateType 4
CertificateEffectiveDate 8/5/2023
CertificateExpirationDate 8/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024