50D1028828 CLIA NUMBER - QFC PHARMACY #887

Laboratory Demographics

  • CLIA Code: 50D1028828
  • Facility Name: QFC PHARMACY #887
  • Facility Address: 417 BROADWAY
    SEATTLE, WA
    ZIP 98102
  • Facility Phone: 206 323-6586
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1043235682
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1028828
LAB Type Pharmacy
Facility Name QFC PHARMACY #887
Street 417 BROADWAY
City SEATTLE
State WA
ZIP 98102
Phone 206 323-6586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2004
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