50D2036771 CLIA NUMBER - WALGREENS #09373

Laboratory Demographics

  • CLIA Code: 50D2036771
  • Facility Name: WALGREENS #09373
  • Facility Address: 17524 AURORA AVE N
    SHORELINE, WA
    ZIP 98133
  • Facility Phone: 206 542-4964
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VALERIE BOLTERMAN
  • NPI Number: 1437184900
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036771
LAB Type Pharmacy
Facility Name WALGREENS #09373
Street 17524 AURORA AVE N
City SHORELINE
State WA
ZIP 98133
Phone 206 542-4964
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director VALERIE BOLTERMAN

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