50D2036561 CLIA NUMBER - WALGREENS #12453

Laboratory Demographics

  • CLIA Code: 50D2036561
  • Facility Name: WALGREENS #12453
  • Facility Address: 702 TROSPER RD SW
    TUMWATER, WA
    ZIP 98512
  • Facility Phone: 360 943-5178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN L. SCHMIEMEIER
  • NPI Number: 1386927028
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036561
LAB Type Pharmacy
Facility Name WALGREENS #12453
Street 702 TROSPER RD SW
City TUMWATER
State WA
ZIP 98512
Phone 360 943-5178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director KRISTEN L. SCHMIEMEIER

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