50D2036738 CLIA NUMBER - WALGREENS #02205

Laboratory Demographics

  • CLIA Code: 50D2036738
  • Facility Name: WALGREENS #02205
  • Facility Address: 12315 N HWY 395
    SPOKANE, WA
    ZIP 99218
  • Facility Phone: 509 466-7461
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN A. OAKES
  • NPI Number: 1386659365
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036738
LAB Type Pharmacy
Facility Name WALGREENS #02205
Street 12315 N HWY 395
City SPOKANE
State WA
ZIP 99218
Phone 509 466-7461
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 JONATHAN A. OAKES

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