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50D2127137 CLIA NUMBER - CVS/PHARMACY #10450

Laboratory Demographics

CLIA Number: 50D2127137

Facility Name: CVS/PHARMACY #10450

Facility Address:
19507 HIGHWAY 99
LYNNWOOD, WA
ZIP 98036
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Facility Phone Number: 425 640-0646

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1023478021

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 50D2127137
LAB Type Pharmacy
Facility Name CVS/PHARMACY #10450
Street 19507 HIGHWAY 99
City LYNNWOOD
State WA
ZIP 98036
Phone 425 640-0646
CertificateType 4
CertificateEffectiveDate 3/9/2017
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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This page was last updated on: 4/23/2024