50D2246399 CLIA NUMBER - SQUARE CARE MEDICAL & PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2246399
  • Facility Name: SQUARE CARE MEDICAL & PHARMACY
  • Facility Address: 8600 E MILL PLAIN BLVD STE A
    VANCOUVER, WA
    ZIP 98664
  • Facility Phone: 360 583-4633
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IKE EKEYA
  • NPI Number: 1417581943
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2246399
LAB Type Pharmacy
Facility Name SQUARE CARE MEDICAL & PHARMACY
Street 8600 E MILL PLAIN BLVD STE A
City VANCOUVER
State WA
ZIP 98664
Phone 360 583-4633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2021
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director IKE EKEYA

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