50D2043130 CLIA NUMBER - WALGREENS #13971

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Laboratory Demographics

CLIA Number: 50D2043130

Facility Name: WALGREENS #13971

Facility Address:
470 GRANT RD
EAST WENATCHEE, WA
ZIP 98802
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Facility Phone Number: 509 886-7047

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124397898

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	50D2043130
LAB Type	Pharmacy
Facility Name	WALGREENS #13971
Street	470 GRANT RD
City	EAST WENATCHEE
State	WA
ZIP	98802
Phone	509 886-7047
CertificateType	4
CertificateEffectiveDate	1/22/2021
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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