50D2008715 CLIA NUMBER - QFC PHARMACY #879

Laboratory Demographics

  • CLIA Code: 50D2008715
  • Facility Name: QFC PHARMACY #879
  • Facility Address: 27008 92ND AVE NW
    REDMOND, WA
    ZIP 98053
  • Facility Phone: 360 629-0662
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1730253261
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2008715
LAB Type Pharmacy
Facility Name QFC PHARMACY #879
Street 27008 92ND AVE NW
City REDMOND
State WA
ZIP 98053
Phone 360 629-0662
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