50D2185157 CLIA NUMBER - ELMA PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2185157
  • Facility Name: ELMA PHARMACY
  • Facility Address: 221 W MAIN ST
    ELMA, WA
    ZIP 98541
  • Facility Phone: 360 482-2442
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL HUTTULA
  • NPI Number: 1235291725
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2185157
LAB Type Pharmacy
Facility Name ELMA PHARMACY
Street 221 W MAIN ST
City ELMA
State WA
ZIP 98541
Phone 360 482-2442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director MICHAEL HUTTULA

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