50D2013499 CLIA NUMBER - WALGREENS #05913

Laboratory Demographics

  • CLIA Code: 50D2013499
  • Facility Name: WALGREENS #05913
  • Facility Address: 7905 N DIVISION ST
    SPOKANE, WA
    ZIP 99208
  • Facility Phone: 509 467-8361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACI SAMPSON
  • NPI Number: 1649285602
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2013499
LAB Type Pharmacy
Facility Name WALGREENS #05913
Street 7905 N DIVISION ST
City SPOKANE
State WA
ZIP 99208
Phone 509 467-8361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director TRACI SAMPSON

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