50D2036721 CLIA NUMBER - WALGREENS #07700

Laboratory Demographics

  • CLIA Code: 50D2036721
  • Facility Name: WALGREENS #07700
  • Facility Address: 34008 HOYT RD SW
    FEDERAL WAY, WA
    ZIP 98023
  • Facility Phone: 253 838-5963
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIAXIN DAI
  • NPI Number: 1912912908
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036721
LAB Type Pharmacy
Facility Name WALGREENS #07700
Street 34008 HOYT RD SW
City FEDERAL WAY
State WA
ZIP 98023
Phone 253 838-5963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JIAXIN DAI

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This page was last updated on: 6/4/2025