50D2036570 CLIA NUMBER - WALGREENS #10995

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Laboratory Demographics

CLIA Number: 50D2036570

Facility Name: WALGREENS #10995

Facility Address:
3716 S 144TH ST
TUKWILA, WA
ZIP 98168
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Facility Phone Number: 206 204-1284

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780840033

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	1/8/2021
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024