50D2008716 CLIA NUMBER - QFC PHARMACY #840

Laboratory Demographics

  • CLIA Code: 50D2008716
  • Facility Name: QFC PHARMACY #840
  • Facility Address: 4570 KLAHANIE DR SE
    ISSAQUAH, WA
    ZIP 98029
  • Facility Phone: (425) 392-8551
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1427073063
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2008716
LAB Type Pharmacy
Facility Name QFC PHARMACY #840
Street 4570 KLAHANIE DR SE
City ISSAQUAH
State WA
ZIP 98029
Phone 4253928551
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: 5/18/2026