50D2206377 CLIA NUMBER - WALGREENS # 15673

Laboratory Demographics

  • CLIA Code: 50D2206377
  • Facility Name: WALGREENS # 15673
  • Facility Address: 1315 WINTERGREEN LN NE
    BAINBRIDGE ISLAND, WA
    ZIP 98110
  • Facility Phone: 206 317-8521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEWART UMBELA
  • NPI Number: 1215307434
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2206377
LAB Type Pharmacy
Facility Name WALGREENS # 15673
Street 1315 WINTERGREEN LN NE
City BAINBRIDGE ISLAND
State WA
ZIP 98110
Phone 206 317-8521
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 STEWART UMBELA

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