50D2036712 CLIA NUMBER - WALGREENS #10946

Laboratory Demographics

  • CLIA Code: 50D2036712
  • Facility Name: WALGREENS #10946
  • Facility Address: 2830 S GRAND BLVD
    SPOKANE, WA
    ZIP 99203
  • Facility Phone: 509 455-3736
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARETT J. MANION
  • NPI Number: 1558376517
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036712
LAB Type Pharmacy
Facility Name WALGREENS #10946
Street 2830 S GRAND BLVD
City SPOKANE
State WA
ZIP 99203
Phone 509 455-3736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director GARETT J. MANION

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This page was last updated on: 3/20/2025