02D2075752 CLIA NUMBER - WALGREENS #15654

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Laboratory Demographics

CLIA Number: 02D2075752

Facility Name: WALGREENS #15654

Facility Address:
E 2550 88TH AVE
ANCHORAGE, AK
ZIP 99502
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Facility Phone Number: 907 349-9292

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316366032

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	02D2075752
LAB Type	Pharmacy
Facility Name	WALGREENS #15654
Street	E 2550 88TH AVE
City	ANCHORAGE
State	AK
ZIP	99502
Phone	907 349-9292
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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