50D2061050 CLIA NUMBER - WALGREENS #4064

Laboratory Demographics

  • CLIA Code: 50D2061050
  • Facility Name: WALGREENS #4064
  • Facility Address: 8224 STEILACOOM BLVD SW
    LAKEWOOD, WA
    ZIP 98498
  • Facility Phone: 253 581-0494
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW W. RAY
  • NPI Number: 1457366411
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2061050
LAB Type Pharmacy
Facility Name WALGREENS #4064
Street 8224 STEILACOOM BLVD SW
City LAKEWOOD
State WA
ZIP 98498
Phone 253 581-0494
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 MATTHEW W. RAY

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