50D2013677 CLIA NUMBER - WALGREENS #01993

Laboratory Demographics

  • CLIA Code: 50D2013677
  • Facility Name: WALGREENS #01993
  • Facility Address: 12312 E SPRAGUE AVE
    SPOKANE VALLEY, WA
    ZIP 99216
  • Facility Phone: 509 921-0659
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BLAIR H. EHLERT
  • NPI Number: 1730194796
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2013677
LAB Type Pharmacy
Facility Name WALGREENS #01993
Street 12312 E SPRAGUE AVE
City SPOKANE VALLEY
State WA
ZIP 99216
Phone 509 921-0659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director BLAIR H. EHLERT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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