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50D2127148 CLIA NUMBER - CVS/PHARMACY #10373

Laboratory Demographics

CLIA Number: 50D2127148

Facility Name: CVS/PHARMACY #10373

Facility Address:
117 SW 160TH ST
BURIEN, WA
ZIP 98166
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Facility Phone Number: 206 242-2030

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1902207780

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 50D2127148
LAB Type Pharmacy
Facility Name CVS/PHARMACY #10373
Street 117 SW 160TH ST
City BURIEN
State WA
ZIP 98166
Phone 206 242-2030
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