50D2038466 CLIA NUMBER - WALGREENS #09113

Laboratory Demographics

  • CLIA Code: 50D2038466
  • Facility Name: WALGREENS #09113
  • Facility Address: 4000 W 27TH AVE
    KENNEWICK, WA
    ZIP 99337
  • Facility Phone: 509 582-7781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MADISON A. PARTRIDGE
  • NPI Number: 1376558361
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2038466
LAB Type Pharmacy
Facility Name WALGREENS #09113
Street 4000 W 27TH AVE
City KENNEWICK
State WA
ZIP 99337
Phone 509 582-7781
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 MADISON A. PARTRIDGE

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