50D2127146 CLIA NUMBER - CVS/PHARMACY #10747

Laboratory Demographics

CLIA Number: 50D2127146

Facility Name: CVS/PHARMACY #10747

Facility Address:
11918 AIRPORT RD
EVERETT, WA
ZIP 98204
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Facility Phone Number: 425 353-7687

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861858086

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	50D2127146
LAB Type	Pharmacy
Facility Name	CVS/PHARMACY #10747
Street	11918 AIRPORT RD
City	EVERETT
State	WA
ZIP	98204
Phone	425 353-7687
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