50D2061006 CLIA NUMBER - WALGREENS #6917

Laboratory Demographics

  • CLIA Code: 50D2061006
  • Facility Name: WALGREENS #6917
  • Facility Address: 8333 MARTIN WAY E
    LACEY, WA
    ZIP 98516
  • Facility Phone: 360 455-0029
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBIN A. TAYLOR
  • NPI Number: 1649285628
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2061006
LAB Type Pharmacy
Facility Name WALGREENS #6917
Street 8333 MARTIN WAY E
City LACEY
State WA
ZIP 98516
Phone 360 455-0029
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 ROBIN A. TAYLOR

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