50D0961177 CLIA NUMBER - QFC PHARMACY #851

Laboratory Demographics

  • CLIA Code: 50D0961177
  • Facility Name: QFC PHARMACY #851
  • Facility Address: 22828 100TH AVE W
    EDMONDS, WA
    ZIP 98020
  • Facility Phone: 425 778-2144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1164447702
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0961177
LAB Type Pharmacy
Facility Name QFC PHARMACY #851
Street 22828 100TH AVE W
City EDMONDS
State WA
ZIP 98020
Phone 425 778-2144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/1999
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