50D2013678 CLIA NUMBER - WALGREENS #03840

Laboratory Demographics

  • CLIA Code: 50D2013678
  • Facility Name: WALGREENS #03840
  • Facility Address: 14656 AMBAUM BLVD SW
    BURIEN, WA
    ZIP 98166
  • Facility Phone: 206 901-1816
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON NGUYEN
  • NPI Number: 1902811979
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2013678
LAB Type Pharmacy
Facility Name WALGREENS #03840
Street 14656 AMBAUM BLVD SW
City BURIEN
State WA
ZIP 98166
Phone 206 901-1816
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 JASON NGUYEN

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