50D2023494 CLIA NUMBER - TULALIP CLINICAL PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2023494
  • Facility Name: TULALIP CLINICAL PHARMACY
  • Facility Address: 8825 34TH AVE NE STE A
    TULALIP, WA
    ZIP 98271
  • Facility Phone: 360 716-2660
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELVIN LEE
  • NPI Number: 1710413224
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2023494
LAB Type Pharmacy
Facility Name TULALIP CLINICAL PHARMACY
Street 8825 34TH AVE NE STE A
City TULALIP
State WA
ZIP 98271
Phone 360 716-2660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2011
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director KELVIN LEE

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This page was last updated on: 9/29/2025