50D0975637 CLIA NUMBER - QFC PHARMACY #822

Laboratory Demographics

  • CLIA Code: 50D0975637
  • Facility Name: QFC PHARMACY #822
  • Facility Address: 3550 128TH SE
    BELLEVUE, WA
    ZIP 98006
  • Facility Phone: 425 378-0202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1962427500
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0975637
LAB Type Pharmacy
Facility Name QFC PHARMACY #822
Street 3550 128TH SE
City BELLEVUE
State WA
ZIP 98006
Phone 425 378-0202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2000
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