02D2075752 CLIA NUMBER - WALGREENS #15654

Laboratory Demographics

  • CLIA Code: 02D2075752
  • Facility Name: WALGREENS #15654
  • Facility Address: E 2550 88TH AVE
    ANCHORAGE, AK
    ZIP 99502
  • Facility Phone: 907 349-9292
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JADE A. ONKLE
  • NPI Number: 1316366032
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2075752
LAB Type Pharmacy
Facility Name WALGREENS #15654
Street E 2550 88TH AVE
City ANCHORAGE
State AK
ZIP 99502
Phone 907 349-9292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director JADE A. ONKLE

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