50D1023843 CLIA NUMBER - QFC PHARMACY #807

Laboratory Demographics

  • CLIA Code: 50D1023843
  • Facility Name: QFC PHARMACY #807
  • Facility Address: 2746 NE 45TH ST
    SEATTLE, WA
    ZIP 98105
  • Facility Phone: 206 729-3080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1518982156
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1023843
LAB Type Pharmacy
Facility Name QFC PHARMACY #807
Street 2746 NE 45TH ST
City SEATTLE
State WA
ZIP 98105
Phone 206 729-3080
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: 3/20/2025