50D2036557 CLIA NUMBER - WALGREENS # 12910

Laboratory Demographics

  • CLIA Code: 50D2036557
  • Facility Name: WALGREENS # 12910
  • Facility Address: 4840 BORGEN BLVD NW
    GIG HARBOR, WA
    ZIP 98332
  • Facility Phone: 253 853-9340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW D. CRUM
  • NPI Number: 1881822823
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036557
LAB Type Pharmacy
Facility Name WALGREENS # 12910
Street 4840 BORGEN BLVD NW
City GIG HARBOR
State WA
ZIP 98332
Phone 253 853-9340
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 MATTHEW D. CRUM

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