50D1104657 CLIA NUMBER - QFC PHARMACY 881

Laboratory Demographics

  • CLIA Code: 50D1104657
  • Facility Name: QFC PHARMACY 881
  • Facility Address: 500 MERCER
    SEATTLE, WA
    ZIP 98109
  • Facility Phone: 206 352-4030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1497976930
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1104657
LAB Type Pharmacy
Facility Name QFC PHARMACY 881
Street 500 MERCER
City SEATTLE
State WA
ZIP 98109
Phone 206 352-4030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2009
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