50D2061253 CLIA NUMBER - WALGREENS #5950

Laboratory Demographics

  • CLIA Code: 50D2061253
  • Facility Name: WALGREENS #5950
  • Facility Address: 4412 RAINIER AVE S
    SEATTLE, WA
    ZIP 98118
  • Facility Phone: 206 760-7880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY M. TRAN
  • NPI Number: 1386659357
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2061253
LAB Type Pharmacy
Facility Name WALGREENS #5950
Street 4412 RAINIER AVE S
City SEATTLE
State WA
ZIP 98118
Phone 206 760-7880
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 AMY M. TRAN

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