50D2100626 CLIA NUMBER - KUSLER'S COMPOUNDING PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2100626
  • Facility Name: KUSLER'S COMPOUNDING PHARMACY
  • Facility Address: 700 AVENUE D STE 102
    SNOHOMISH, WA
    ZIP 98290
  • Facility Phone: 360 568-1297
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAWN IPSEN
  • NPI Number: 1366872798
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2100626
LAB Type Pharmacy
Facility Name KUSLER'S COMPOUNDING PHARMACY
Street 700 AVENUE D STE 102
City SNOHOMISH
State WA
ZIP 98290
Phone 360 568-1297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2015
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director DAWN IPSEN

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