50D2205416 CLIA NUMBER - WEST PASCO PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2205416
  • Facility Name: WEST PASCO PHARMACY
  • Facility Address: 7505 SANDIFUR PKWY STE 102
    PASCO, WA
    ZIP 99301
  • Facility Phone: 509 567-7160
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANOGNA PAMIDI
  • NPI Number: 1710504550
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2205416
LAB Type Pharmacy
Facility Name WEST PASCO PHARMACY
Street 7505 SANDIFUR PKWY STE 102
City PASCO
State WA
ZIP 99301
Phone 509 567-7160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director MANOGNA PAMIDI

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