50D1104517 CLIA NUMBER - QFC PHARMACY 878

Laboratory Demographics

  • CLIA Code: 50D1104517
  • Facility Name: QFC PHARMACY 878
  • Facility Address: 23475 NE NOVELTY HILL RD
    REDMOND, WA
    ZIP 98053
  • Facility Phone: 425 636-0440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1295809598
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1104517
LAB Type Pharmacy
Facility Name QFC PHARMACY 878
Street 23475 NE NOVELTY HILL RD
City REDMOND
State WA
ZIP 98053
Phone 425 636-0440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2009
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