50D2063083 CLIA NUMBER - WALGREENS #10994

Laboratory Demographics

  • CLIA Code: 50D2063083
  • Facility Name: WALGREENS #10994
  • Facility Address: 320 HARRISON ST
    SEDRO WOOLLEY, WA
    ZIP 98284
  • Facility Phone: 360 855-0735
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALVIN P. AVE
  • NPI Number: 1629264890
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2063083
LAB Type Pharmacy
Facility Name WALGREENS #10994
Street 320 HARRISON ST
City SEDRO WOOLLEY
State WA
ZIP 98284
Phone 360 855-0735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director ALVIN P. AVE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025