50D2170456 CLIA NUMBER - KIRK'S PHARMACY AND COMPOUNDING

Laboratory Demographics

CLIA Number: 50D2170456

Facility Name: KIRK'S PHARMACY AND COMPOUNDING

Facility Address:
618 S MERIDIAN
PUYALLUP, WA
ZIP 98372
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Facility Phone Number: 253 848-2011

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396973004

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	50D2170456
LAB Type	Pharmacy
Facility Name	KIRK'S PHARMACY AND COMPOUNDING
Street	618 S MERIDIAN
City	PUYALLUP
State	WA
ZIP	98372
Phone	253 848-2011
CertificateType	4
CertificateEffectiveDate	8/12/2019
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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