50D2184537 CLIA NUMBER - RX PHARMACY LTC

Laboratory Demographics

  • CLIA Code: 50D2184537
  • Facility Name: RX PHARMACY LTC
  • Facility Address: 8021 W GRANDRIDGE BLVD
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 940-9001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN BENTLEY
  • NPI Number: 1528566981
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2184537
LAB Type Pharmacy
Facility Name RX PHARMACY LTC
Street 8021 W GRANDRIDGE BLVD
City KENNEWICK
State WA
ZIP 99336
Phone 509 940-9001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director RYAN BENTLEY

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