50D2061018 CLIA NUMBER - WALGREENS #7782

Laboratory Demographics

  • CLIA Code: 50D2061018
  • Facility Name: WALGREENS #7782
  • Facility Address: 1901 MAIN ST
    FERNDALE, WA
    ZIP 98248
  • Facility Phone: 360 384-7658
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUSTAFA L. SOWAN
  • NPI Number: 1821003815
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2061018
LAB Type Pharmacy
Facility Name WALGREENS #7782
Street 1901 MAIN ST
City FERNDALE
State WA
ZIP 98248
Phone 360 384-7658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director MUSTAFA L. SOWAN

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