50D2052018 CLIA NUMBER - WALGREENS # 13770

Laboratory Demographics

  • CLIA Code: 50D2052018
  • Facility Name: WALGREENS # 13770
  • Facility Address: 17520 AVONDALE RD NE
    WOODINVILLE, WA
    ZIP 98077
  • Facility Phone: 425 844-0302
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA DESRUISSEAUX
  • NPI Number: 1841568615
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2052018
LAB Type Pharmacy
Facility Name WALGREENS # 13770
Street 17520 AVONDALE RD NE
City WOODINVILLE
State WA
ZIP 98077
Phone 425 844-0302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director LAURA DESRUISSEAUX

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