50D2061010 CLIA NUMBER - WALGREENS #7173

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Laboratory Demographics

CLIA Number: 50D2061010

Facility Name: WALGREENS #7173

Facility Address:
22320 MERIDIAN AVE E
GRAHAM, WA
ZIP 98338
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Facility Phone Number: 425 875-1824

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427236736

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	50D2061010
LAB Type	Pharmacy
Facility Name	WALGREENS #7173
Street	22320 MERIDIAN AVE E
City	GRAHAM
State	WA
ZIP	98338
Phone	425 875-1824
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