50D2052019 CLIA NUMBER - WALGREENS #10553

Laboratory Demographics

  • CLIA Code: 50D2052019
  • Facility Name: WALGREENS #10553
  • Facility Address: 15585 NE 24TH ST
    BELLEVUE, WA
    ZIP 98007
  • Facility Phone: 425 643-8281
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DESRUISSEAUX V. LAURA
  • NPI Number: 1124378914
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2052019
LAB Type Pharmacy
Facility Name WALGREENS #10553
Street 15585 NE 24TH ST
City BELLEVUE
State WA
ZIP 98007
Phone 425 643-8281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director DESRUISSEAUX V. LAURA

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