50D2036716 CLIA NUMBER - WALGREENS #07846

Laboratory Demographics

  • CLIA Code: 50D2036716
  • Facility Name: WALGREENS #07846
  • Facility Address: 2702 N ARGONNE RD
    MILLWOOD, WA
    ZIP 99212
  • Facility Phone: 509 892-1637
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN KLEVEN
  • NPI Number: 1811902885
  • Taxonomy: 333600000X - Pharmacy

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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
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 BRYAN KLEVEN

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