50D2036804 CLIA NUMBER - WALGREENS #07480

Laboratory Demographics

  • CLIA Code: 50D2036804
  • Facility Name: WALGREENS #07480
  • Facility Address: 1701 AUBURN WAY S
    AUBURN, WA
    ZIP 98002
  • Facility Phone: 253 394-0029
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA SHINN
  • NPI Number: 1669489589
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2036804
LAB Type Pharmacy
Facility Name WALGREENS #07480
Street 1701 AUBURN WAY S
City AUBURN
State WA
ZIP 98002
Phone 253 394-0029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2021
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JESSICA SHINN

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