50D2036743 CLIA NUMBER - WALGREENS #07136

Laboratory Demographics

  • CLIA Code: 50D2036743
  • Facility Name: WALGREENS #07136
  • Facility Address: 1350 GARRETT ST
    ENUMCLAW, WA
    ZIP 98022
  • Facility Phone: (360) 825-5739
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN M. FOGARTY
  • NPI Number: 1740295724
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036743
LAB Type Pharmacy
Facility Name WALGREENS #07136
Street 1350 GARRETT ST
City ENUMCLAW
State WA
ZIP 98022
Phone 3608255739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director ERIN M. FOGARTY

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This page was last updated on: 5/18/2026