50D2241586 CLIA NUMBER - HAGGEN PHARMACY #3436

Laboratory Demographics

  • CLIA Code: 50D2241586
  • Facility Name: HAGGEN PHARMACY #3436
  • Facility Address: 757 HAGGEN DR
    BURLINGTON, WA
    ZIP 98233
  • Facility Phone: 360 814-1561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1447605100
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2241586
LAB Type Pharmacy
Facility Name HAGGEN PHARMACY #3436
Street 757 HAGGEN DR
City BURLINGTON
State WA
ZIP 98233
Phone 360 814-1561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2021
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director SUSAN TEGART

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