50D2234146 CLIA NUMBER - VASHON PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2234146
  • Facility Name: VASHON PHARMACY
  • Facility Address: 17617 VASHON HWY SW
    VASHON, WA
    ZIP 98070
  • Facility Phone: 206 463-9118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER YOUNG
  • NPI Number: 1184764177
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2234146
LAB Type Pharmacy
Facility Name VASHON PHARMACY
Street 17617 VASHON HWY SW
City VASHON
State WA
ZIP 98070
Phone 206 463-9118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2021
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director TYLER YOUNG

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