50D1023842 CLIA NUMBER - QFC PHARMACY #853

Laboratory Demographics

  • CLIA Code: 50D1023842
  • Facility Name: QFC PHARMACY #853
  • Facility Address: 2615 BROADWAY
    EVERETT, WA
    ZIP 98201
  • Facility Phone: (206) 782-4100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1780945972
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1023842
LAB Type Pharmacy
Facility Name QFC PHARMACY #853
Street 2615 BROADWAY
City EVERETT
State WA
ZIP 98201
Phone 2067824100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2004
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director CHUCK PAULSEN

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This page was last updated on: 5/18/2026