50D2061003 CLIA NUMBER - WALGREENS #6814

Laboratory Demographics

  • CLIA Code: 50D2061003
  • Facility Name: WALGREENS #6814
  • Facility Address: 10302 SUNRISE BLVD E
    PUYALLUP, WA
    ZIP 98374
  • Facility Phone: 253 604-1013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN SCHMIEMEIER
  • NPI Number: 1003821091
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2061003
LAB Type Pharmacy
Facility Name WALGREENS #6814
Street 10302 SUNRISE BLVD E
City PUYALLUP
State WA
ZIP 98374
Phone 253 604-1013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director KRISTEN SCHMIEMEIER

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