50D2206222 CLIA NUMBER - WALGREENS #16067

Laboratory Demographics

  • CLIA Code: 50D2206222
  • Facility Name: WALGREENS #16067
  • Facility Address: 2100 NE 139TH ST
    VANCOUVER, WA
    ZIP 98686
  • Facility Phone: 360 574-0914
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER ALLARD
  • NPI Number: 1477568467
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2206222
LAB Type Pharmacy
Facility Name WALGREENS #16067
Street 2100 NE 139TH ST
City VANCOUVER
State WA
ZIP 98686
Phone 360 574-0914
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 HEATHER ALLARD

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This page was last updated on: 3/20/2025