50D2206378 CLIA NUMBER - WALGREENS #16025

Laboratory Demographics

  • CLIA Code: 50D2206378
  • Facility Name: WALGREENS #16025
  • Facility Address: 425 BRIDGE ST
    CLARKSTON, WA
    ZIP 99403
  • Facility Phone: 509 552-8091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUANE HUGHES
  • NPI Number: 1558768903
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2206378
LAB Type Pharmacy
Facility Name WALGREENS #16025
Street 425 BRIDGE ST
City CLARKSTON
State WA
ZIP 99403
Phone 509 552-8091
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 DUANE HUGHES

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