50D2023843 CLIA NUMBER - WALGREENS #06102

Laboratory Demographics

  • CLIA Code: 50D2023843
  • Facility Name: WALGREENS #06102
  • Facility Address: 4404 S MERIDIAN
    PUYALLUP, WA
    ZIP 98373
  • Facility Phone: 253 770-6484
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNY LALLA
  • NPI Number: 1003821075
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2023843
LAB Type Pharmacy
Facility Name WALGREENS #06102
Street 4404 S MERIDIAN
City PUYALLUP
State WA
ZIP 98373
Phone 253 770-6484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2021
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director COURTNY LALLA

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