50D2036768 CLIA NUMBER - WALGREENS #7132

Laboratory Demographics

  • CLIA Code: 50D2036768
  • Facility Name: WALGREENS #7132
  • Facility Address: 11216 4TH AVE W
    EVERETT, WA
    ZIP 98204
  • Facility Phone: 425 355-9940
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMANIEL M. WELDU
  • NPI Number: 1730194713
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036768
LAB Type Pharmacy
Facility Name WALGREENS #7132
Street 11216 4TH AVE W
City EVERETT
State WA
ZIP 98204
Phone 425 355-9940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director EMANIEL M. WELDU

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This page was last updated on: 3/20/2025