50D2013504 CLIA NUMBER - WALGREENS #5571

Laboratory Demographics

  • CLIA Code: 50D2013504
  • Facility Name: WALGREENS #5571
  • Facility Address: 1510 SW COOPER POINT RD SW
    OLYMPIA, WA
    ZIP 98502
  • Facility Phone: 360 570-8008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOUNGIN JUN
  • NPI Number: 1104831171
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2013504
LAB Type Pharmacy
Facility Name WALGREENS #5571
Street 1510 SW COOPER POINT RD SW
City OLYMPIA
State WA
ZIP 98502
Phone 360 570-8008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director YOUNGIN JUN

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