50D2013429 CLIA NUMBER - WALGREENS #10195

Laboratory Demographics

  • CLIA Code: 50D2013429
  • Facility Name: WALGREENS #10195
  • Facility Address: 2810 W CLEARWATER AVE
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 783-5412
  • Facility Type: Other - OTHER PRACTITIONER
  • Facility Type: Waiver
  • Lab Director: DANIELLE SHOOK
  • NPI Number: 1811902802
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2013429
LAB Type Other - OTHER PRACTITIONER
Facility Name WALGREENS #10195
Street 2810 W CLEARWATER AVE
City KENNEWICK
State WA
ZIP 99336
Phone 509 783-5412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2020
Certificate Expiration Date 4/4/2028
Facility Type Other - OTHER PRACTITIONER
Lab Director DANIELLE SHOOK

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