50D2184182 CLIA NUMBER - HORIZON PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2184182
  • Facility Name: HORIZON PHARMACY
  • Facility Address: 507 W 1ST ST
    WAPATO, WA
    ZIP 98951
  • Facility Phone: 509 584-0300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEEPAK DHRUVA
  • NPI Number: 1043635022
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2184182
LAB Type Pharmacy
Facility Name HORIZON PHARMACY
Street 507 W 1ST ST
City WAPATO
State WA
ZIP 98951
Phone 509 584-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director DEEPAK DHRUVA

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