50D2038520 CLIA NUMBER - WALGREENS #10926

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Laboratory Demographics

CLIA Number: 50D2038520

Facility Name: WALGREENS #10926

Facility Address:
490 W WASHINGTON ST
SEQUIM, WA
ZIP 98382
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Facility Phone Number: 360 681-2018

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154588457

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	50D2038520
LAB Type	Pharmacy
Facility Name	WALGREENS #10926
Street	490 W WASHINGTON ST
City	SEQUIM
State	WA
ZIP	98382
Phone	360 681-2018
CertificateType	4
CertificateEffectiveDate	12/17/2020
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024