50D0962728 CLIA NUMBER - QFC PHARMACY #126

Laboratory Demographics

  • CLIA Code: 50D0962728
  • Facility Name: QFC PHARMACY #126
  • Facility Address: 4775 WHITMAN LANE SE
    OLYMPIA, WA
    ZIP 98513
  • Facility Phone: 360 438-6314
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1144245788
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0962728
LAB Type Pharmacy
Facility Name QFC PHARMACY #126
Street 4775 WHITMAN LANE SE
City OLYMPIA
State WA
ZIP 98513
Phone 360 438-6314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/1999
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