50D2023845 CLIA NUMBER - WALGREENS #06304

Laboratory Demographics

  • CLIA Code: 50D2023845
  • Facility Name: WALGREENS #06304
  • Facility Address: 27112 132ND AVE SE
    KENT, WA
    ZIP 98042
  • Facility Phone: 253 638-3324
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHUONG M. TRAN
  • NPI Number: 1659386621
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2023845
LAB Type Pharmacy
Facility Name WALGREENS #06304
Street 27112 132ND AVE SE
City KENT
State WA
ZIP 98042
Phone 253 638-3324
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 PHUONG M. TRAN

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