50D2036716 CLIA NUMBER - WALGREENS #07846

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Laboratory Demographics

CLIA Number: 50D2036716

Facility Name: WALGREENS #07846

Facility Address:
2702 N ARGONNE RD
MILLWOOD, WA
ZIP 99212
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Facility Phone Number: 509 892-1637

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811902885

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	50D2036716
LAB Type	Pharmacy
Facility Name	WALGREENS #07846
Street	2702 N ARGONNE RD
City	MILLWOOD
State	WA
ZIP	99212
Phone	509 892-1637
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