50D1020223 CLIA NUMBER - COSTCO PHARMACY #64

Home > CLIA Lookup > 50D1020223

Laboratory Demographics

CLIA Number: 50D1020223

Facility Name: COSTCO PHARMACY #64

Facility Address:
5500 LITTLE ROCK ROAD SW
TUMWATER, WA
ZIP 98512
Get Directions

Facility Phone Number: 360 357-7290

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871603415

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	50D1020223
LAB Type	Pharmacy
Facility Name	COSTCO PHARMACY #64
Street	5500 LITTLE ROCK ROAD SW
City	TUMWATER
State	WA
ZIP	98512
Phone	360 357-7290
CertificateType	4
CertificateEffectiveDate	12/15/2003
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024