50D2039941 CLIA NUMBER - WALGREENS #01078

Laboratory Demographics

  • CLIA Code: 50D2039941
  • Facility Name: WALGREENS #01078
  • Facility Address: 2005 W COURT ST
    PASCO, WA
    ZIP 99301
  • Facility Phone: 509 545-4391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY NGUYEN
  • NPI Number: 1558376541
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2039941
LAB Type Pharmacy
Facility Name WALGREENS #01078
Street 2005 W COURT ST
City PASCO
State WA
ZIP 99301
Phone 509 545-4391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director MARY NGUYEN

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