50D2141971 CLIA NUMBER - VALLEY DRUG

Laboratory Demographics

  • CLIA Code: 50D2141971
  • Facility Name: VALLEY DRUG
  • Facility Address: 208 E MAIN ST
    EVERSON, WA
    ZIP 98247
  • Facility Phone: 360 966-3481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEAGAN KAMMENGA
  • NPI Number: 1184764458
  • Taxonomy: 1835P0018X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 50D2141971
LAB Type Pharmacy
Facility Name VALLEY DRUG
Street 208 E MAIN ST
City EVERSON
State WA
ZIP 98247
Phone 360 966-3481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2017
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director MEAGAN KAMMENGA

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