50D2162618 CLIA NUMBER - CHENEY OWL PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2162618
  • Facility Name: CHENEY OWL PHARMACY
  • Facility Address: 120 F ST
    CHENEY, WA
    ZIP 99004
  • Facility Phone: 509 235-8441
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA GOYKE
  • NPI Number: 1821176330
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2162618
LAB Type Pharmacy
Facility Name CHENEY OWL PHARMACY
Street 120 F ST
City CHENEY
State WA
ZIP 99004
Phone 509 235-8441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2019
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director AMANDA GOYKE

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