50D2036708 CLIA NUMBER - WALGREENS #09911

Home > CLIA Lookup > 50D2036708

Laboratory Demographics

CLIA Number: 50D2036708

Facility Name: WALGREENS #09911

Facility Address:
4001 SUMMITVIEW AVE STE 1
YAKIMA, WA
ZIP 98908
Get Directions

Facility Phone Number: 509 972-2986

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669503348

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	50D2036708
LAB Type	Pharmacy
Facility Name	WALGREENS #09911
Street	4001 SUMMITVIEW AVE STE 1
City	YAKIMA
State	WA
ZIP	98908
Phone	509 972-2986
CertificateType	4
CertificateEffectiveDate	12/18/2020
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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