50D2036610 CLIA NUMBER - WALGREENS #9812

Laboratory Demographics

  • CLIA Code: 50D2036610
  • Facility Name: WALGREENS #9812
  • Facility Address: 2939 OCEAN BEACH HWY
    LONGVIEW, WA
    ZIP 98632
  • Facility Phone: 360 232-1021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JI HYUN BYUN
  • NPI Number: 1457415622
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036610
LAB Type Pharmacy
Facility Name WALGREENS #9812
Street 2939 OCEAN BEACH HWY
City LONGVIEW
State WA
ZIP 98632
Phone 360 232-1021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JI HYUN BYUN

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