50D2173305 CLIA NUMBER - KAISER PERMANENTE WASHINGTON WEST OLYMPIA LAB ORATORY

Laboratory Demographics

CLIA Number: 50D2173305

Facility Name: KAISER PERMANENTE WASHINGTON WEST OLYMPIA LAB ORATORY

Facility Address:
1200 COOPER POINT RD SW STE 100
OLYMPIA, WA
ZIP 98502
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Facility Phone Number: 206 630-4526

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1548807738

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	50D2173305
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	KAISER PERMANENTE WASHINGTON WEST OLYMPIA LAB ORATORY
Street	1200 COOPER POINT RD SW STE 100
City	OLYMPIA
State	WA
ZIP	98502
Phone	206 630-4526
CertificateType	4
CertificateEffectiveDate	10/9/2019
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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