50D2182354 CLIA NUMBER - RX PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2182354
  • Facility Name: RX PHARMACY
  • Facility Address: 800 SWIFT BLVD STE 140
    RICHLAND, WA
    ZIP 99352
  • Facility Phone: 509 713-7444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RANDY JOHNSON
  • NPI Number: 1104207372
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2182354
LAB Type Pharmacy
Facility Name RX PHARMACY
Street 800 SWIFT BLVD STE 140
City RICHLAND
State WA
ZIP 99352
Phone 509 713-7444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director RANDY JOHNSON

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