50D2060971 CLIA NUMBER - WALGREENS #05150

Laboratory Demographics

  • CLIA Code: 50D2060971
  • Facility Name: WALGREENS #05150
  • Facility Address: 3737 PACIFIC AVE
    TACOMA, WA
    ZIP 98418
  • Facility Phone: 847 527-4238
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN R. SCHILPEROORT
  • NPI Number: 1295740264
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2060971
LAB Type Pharmacy
Facility Name WALGREENS #05150
Street 3737 PACIFIC AVE
City TACOMA
State WA
ZIP 98418
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JONATHAN R. SCHILPEROORT

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