50D2036770 CLIA NUMBER - WALGREENS #3788

Laboratory Demographics

  • CLIA Code: 50D2036770
  • Facility Name: WALGREENS #3788
  • Facility Address: 14510 AURORA AVE N
    SHORELINE, WA
    ZIP 98133
  • Facility Phone: 206 361-8826
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUPREET SANDHU
  • NPI Number: 1316954217
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036770
LAB Type Pharmacy
Facility Name WALGREENS #3788
Street 14510 AURORA AVE N
City SHORELINE
State WA
ZIP 98133
Phone 206 361-8826
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 SUPREET SANDHU

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