50D2176532 CLIA NUMBER - LIVING WELL HEALTH CENTER

Laboratory Demographics

CLIA Number: 50D2176532

Facility Name: LIVING WELL HEALTH CENTER

Facility Address:
3925 159TH AVE NE
REDMOND, WA
ZIP 98052
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Facility Phone Number: 425 497-1225

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1366717373

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	50D2176532
LAB Type	Pharmacy
Facility Name	LIVING WELL HEALTH CENTER
Street	3925 159TH AVE NE
City	REDMOND
State	WA
ZIP	98052
Phone	425 497-1225
CertificateType	4
CertificateEffectiveDate	12/17/2019
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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