50D2008713 CLIA NUMBER - QFC PHARMACY #212

Laboratory Demographics

  • CLIA Code: 50D2008713
  • Facility Name: QFC PHARMACY #212
  • Facility Address: 3505 SE 192ND
    VANCOUVER, WA
    ZIP 98683
  • Facility Phone: 360 253-3043
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1134144777
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2008713
LAB Type Pharmacy
Facility Name QFC PHARMACY #212
Street 3505 SE 192ND
City VANCOUVER
State WA
ZIP 98683
Phone 360 253-3043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2010
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