50D2036710 CLIA NUMBER - WALGREENS #10141

Laboratory Demographics

  • CLIA Code: 50D2036710
  • Facility Name: WALGREENS #10141
  • Facility Address: 2903 NE ANDRESEN RD
    VANCOUVER, WA
    ZIP 98661
  • Facility Phone: 360 256-1503
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THUY LE
  • NPI Number: 1194730184
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036710
LAB Type Pharmacy
Facility Name WALGREENS #10141
Street 2903 NE ANDRESEN RD
City VANCOUVER
State WA
ZIP 98661
Phone 360 256-1503
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 THUY LE

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