02D2028290 CLIA NUMBER - WALGREENS #13656

Laboratory Demographics

  • CLIA Code: 02D2028290
  • Facility Name: WALGREENS #13656
  • Facility Address: 725 E NORTHERN LIGHTS BLVD
    ANCHORAGE, AK
    ZIP 99503
  • Facility Phone: 907 644-8400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA L. WAMPLER
  • NPI Number: 1598055964
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2028290
LAB Type Pharmacy
Facility Name WALGREENS #13656
Street 725 E NORTHERN LIGHTS BLVD
City ANCHORAGE
State AK
ZIP 99503
Phone 907 644-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Pharmacy
Lab Director ANGELA L. WAMPLER

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