50D2205045 CLIA NUMBER - QFC PHARMACY #106

Laboratory Demographics

  • CLIA Code: 50D2205045
  • Facility Name: QFC PHARMACY #106
  • Facility Address: 515 SHERIDAN ST
    PORT TOWNSEND, WA
    ZIP 98368
  • Facility Phone: 360 385-3005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAULSEN
  • NPI Number: 1942803432
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2205045
LAB Type Pharmacy
Facility Name QFC PHARMACY #106
Street 515 SHERIDAN ST
City PORT TOWNSEND
State WA
ZIP 98368
Phone 360 385-3005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director CHUCK PAULSEN

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