50D2036740 CLIA NUMBER - WALGREENS #05951

Laboratory Demographics

  • CLIA Code: 50D2036740
  • Facility Name: WALGREENS #05951
  • Facility Address: 11509 CANYON RD E
    PUYALLUP, WA
    ZIP 98373
  • Facility Phone: 253 539-4165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIEN TRAN
  • NPI Number: 1932116837
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036740
LAB Type Pharmacy
Facility Name WALGREENS #05951
Street 11509 CANYON RD E
City PUYALLUP
State WA
ZIP 98373
Phone 253 539-4165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director LIEN TRAN

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