50D2061046 CLIA NUMBER - WALGREENS #3581

Laboratory Demographics

  • CLIA Code: 50D2061046
  • Facility Name: WALGREENS #3581
  • Facility Address: 8405 PACIFIC AVE
    TACOMA, WA
    ZIP 98444
  • Facility Phone: 253 536-3778
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTI A. SUMABAT
  • NPI Number: 1720093784
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2061046
LAB Type Pharmacy
Facility Name WALGREENS #3581
Street 8405 PACIFIC AVE
City TACOMA
State WA
ZIP 98444
Phone 253 536-3778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director KRISTI A. SUMABAT

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