50D2036570 CLIA NUMBER - WALGREENS #10995

Laboratory Demographics

  • CLIA Code: 50D2036570
  • Facility Name: WALGREENS #10995
  • Facility Address: 3716 S 144TH ST
    TUKWILA, WA
    ZIP 98168
  • Facility Phone: 206 204-1284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON MAI
  • NPI Number: 1780840033
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036570
LAB Type Pharmacy
Facility Name WALGREENS #10995
Street 3716 S 144TH ST
City TUKWILA
State WA
ZIP 98168
Phone 206 204-1284
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 JASON MAI

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