50D0913507 CLIA NUMBER - QFC PHARMACY #866

Laboratory Demographics

  • CLIA Code: 50D0913507
  • Facility Name: QFC PHARMACY #866
  • Facility Address: 11100 ROOSEVELT WAY NE
    SEATTLE, WA
    ZIP 98125
  • Facility Phone: 206 361-0188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1609891241
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0913507
LAB Type Pharmacy
Facility Name QFC PHARMACY #866
Street 11100 ROOSEVELT WAY NE
City SEATTLE
State WA
ZIP 98125
Phone 206 361-0188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/1996
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director CHUCK PAULSEN

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