50D2013554 CLIA NUMBER - WALGREENS #03519

Laboratory Demographics

  • CLIA Code: 50D2013554
  • Facility Name: WALGREENS #03519
  • Facility Address: 4315 6TH AVE
    TACOMA, WA
    ZIP 98406
  • Facility Phone: 253 756-5159
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALVIN L. AVE
  • NPI Number: 1467467423
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2013554
LAB Type Pharmacy
Facility Name WALGREENS #03519
Street 4315 6TH AVE
City TACOMA
State WA
ZIP 98406
Phone 253 756-5159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director ALVIN L. AVE

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