50D2199354 CLIA NUMBER - LINCOLN PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2199354
  • Facility Name: LINCOLN PHARMACY
  • Facility Address: 821 S 38TH ST
    TACOMA, WA
    ZIP 98418
  • Facility Phone: 253 473-1155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TED PERILLO
  • NPI Number: 1710015912
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2199354
LAB Type Pharmacy
Facility Name LINCOLN PHARMACY
Street 821 S 38TH ST
City TACOMA
State WA
ZIP 98418
Phone 253 473-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director TED PERILLO

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