50D2036737 CLIA NUMBER - WALGREENS #01090

Laboratory Demographics

  • CLIA Code: 50D2036737
  • Facility Name: WALGREENS #01090
  • Facility Address: 1900 NE 162ND AVE BLDG C
    VANCOUVER, WA
    ZIP 98684
  • Facility Phone: 360 891-1809
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIEN T. NGO
  • NPI Number: 1578570495
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036737
LAB Type Pharmacy
Facility Name WALGREENS #01090
Street 1900 NE 162ND AVE BLDG C
City VANCOUVER
State WA
ZIP 98684
Phone 360 891-1809
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 LIEN T. NGO

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