50D2013674 CLIA NUMBER - WALGREENS #03514

Laboratory Demographics

  • CLIA Code: 50D2013674
  • Facility Name: WALGREENS #03514
  • Facility Address: 9505 BRIDGEPORT WAY SW
    TACOMA, WA
    ZIP 98499
  • Facility Phone: 253 582-2230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID CRUZ
  • NPI Number: 1376558338
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2013674
LAB Type Pharmacy
Facility Name WALGREENS #03514
Street 9505 BRIDGEPORT WAY SW
City TACOMA
State WA
ZIP 98499
Phone 253 582-2230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director DAVID CRUZ

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This page was last updated on: 6/4/2025