50D2061023 CLIA NUMBER - WALGREENS #9379

Laboratory Demographics

  • CLIA Code: 50D2061023
  • Facility Name: WALGREENS #9379
  • Facility Address: 8511 NE 162ND AVE
    VANCOUVER, WA
    ZIP 98682
  • Facility Phone: 360 597-0123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID FORBESS
  • NPI Number: 1093720088
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2061023
LAB Type Pharmacy
Facility Name WALGREENS #9379
Street 8511 NE 162ND AVE
City VANCOUVER
State WA
ZIP 98682
Phone 360 597-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director DAVID FORBESS

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