50D2015175 CLIA NUMBER - WALGREENS #3662

Laboratory Demographics

  • CLIA Code: 50D2015175
  • Facility Name: WALGREENS #3662
  • Facility Address: 647 140TH AVE NE
    BELLEVUE, WA
    ZIP 98005
  • Facility Phone: 425 603-1438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSI M. TRUELOVE
  • NPI Number: 1811902877
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2015175
LAB Type Pharmacy
Facility Name WALGREENS #3662
Street 647 140TH AVE NE
City BELLEVUE
State WA
ZIP 98005
Phone 425 603-1438
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 JESSI M. TRUELOVE

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