50D2186507 CLIA NUMBER - GIBBONS PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2186507
  • Facility Name: GIBBONS PHARMACY
  • Facility Address: 117 S TOPPENISH AVE
    TOPPENISH, WA
    ZIP 98948
  • Facility Phone: 509 865-2722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANINE N CHARVET PEDERSON
  • NPI Number: 1548275191
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2186507
LAB Type Pharmacy
Facility Name GIBBONS PHARMACY
Street 117 S TOPPENISH AVE
City TOPPENISH
State WA
ZIP 98948
Phone 509 865-2722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JEANINE N CHARVET PEDERSON

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This page was last updated on: 3/20/2025