50D2036769 CLIA NUMBER - WALGREENS #05914

Laboratory Demographics

  • CLIA Code: 50D2036769
  • Facility Name: WALGREENS #05914
  • Facility Address: 15510 E SPRAGUE AVE
    SPOKANE VALLEY, WA
    ZIP 99037
  • Facility Phone: 509 891-0735
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. BRITTEN
  • NPI Number: 1013922087
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036769
LAB Type Pharmacy
Facility Name WALGREENS #05914
Street 15510 E SPRAGUE AVE
City SPOKANE VALLEY
State WA
ZIP 99037
Phone 509 891-0735
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 JENNIFER L. BRITTEN

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This page was last updated on: 6/4/2025