50D2034875 CLIA NUMBER - WALGREENS 01093

Laboratory Demographics

  • CLIA Code: 50D2034875
  • Facility Name: WALGREENS 01093
  • Facility Address: 2521 MAIN ST
    VANCOUVER, WA
    ZIP 98660
  • Facility Phone: 360 693-2524
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAY L. ECKHART
  • NPI Number: 1467467456
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2034875
LAB Type Pharmacy
Facility Name WALGREENS 01093
Street 2521 MAIN ST
City VANCOUVER
State WA
ZIP 98660
Phone 360 693-2524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director KAY L. ECKHART

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