50D2083868 CLIA NUMBER - WALGREENS #15404

Laboratory Demographics

  • CLIA Code: 50D2083868
  • Facility Name: WALGREENS #15404
  • Facility Address: 9797 EDMONDS WAY
    EDMONDS, WA
    ZIP 98020
  • Facility Phone: 425 672-0017
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANN Q. MINN
  • NPI Number: 1720419005
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2083868
LAB Type Pharmacy
Facility Name WALGREENS #15404
Street 9797 EDMONDS WAY
City EDMONDS
State WA
ZIP 98020
Phone 425 672-0017
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 ANN Q. MINN

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