50D1002406 CLIA NUMBER - QFC PHARMACY #829

Laboratory Demographics

  • CLIA Code: 50D1002406
  • Facility Name: QFC PHARMACY #829
  • Facility Address: 460 E NORTH BEND WAY
    NORTH BEND, WA
    ZIP 98045
  • Facility Phone: 425 888-2357
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1871518415
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1002406
LAB Type Pharmacy
Facility Name QFC PHARMACY #829
Street 460 E NORTH BEND WAY
City NORTH BEND
State WA
ZIP 98045
Phone 425 888-2357
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