50D1002400 CLIA NUMBER - QFC PHARMACY #874

Laboratory Demographics

  • CLIA Code: 50D1002400
  • Facility Name: QFC PHARMACY #874
  • Facility Address: 1510 145TH PL SE
    BELLEVUE, WA
    ZIP 98007
  • Facility Phone: 425 653-2431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1598780132
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1002400
LAB Type Pharmacy
Facility Name QFC PHARMACY #874
Street 1510 145TH PL SE
City BELLEVUE
State WA
ZIP 98007
Phone 425 653-2431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2002
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