50D2040928 CLIA NUMBER - WALGREENS 13087

Laboratory Demographics

  • CLIA Code: 50D2040928
  • Facility Name: WALGREENS 13087
  • Facility Address: 4468 STONEWAY N
    SEATTLE, WA
    ZIP 98103
  • Facility Phone: 206 547-1226
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAEYEON OH
  • NPI Number: 1699043364
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2040928
LAB Type Pharmacy
Facility Name WALGREENS 13087
Street 4468 STONEWAY N
City SEATTLE
State WA
ZIP 98103
Phone 206 547-1226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JAEYEON OH

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