50D2060968 CLIA NUMBER - WALGREENS #4730

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Laboratory Demographics

CLIA Number: 50D2060968

Facility Name: WALGREENS #4730

Facility Address:
13110 BOTHELL EVERETT HWY
EVERETT, WA
ZIP 98208
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Facility Phone Number: 425 379-7274

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578578548

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	50D2060968
LAB Type	Pharmacy
Facility Name	WALGREENS #4730
Street	13110 BOTHELL EVERETT HWY
City	EVERETT
State	WA
ZIP	98208
Phone	425 379-7274
CertificateType	4
CertificateEffectiveDate	12/15/2020
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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