50D2250803 CLIA NUMBER - LOPEZ ISLAND PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2250803
  • Facility Name: LOPEZ ISLAND PHARMACY
  • Facility Address: 352 LOPEZ RD
    LOPEZ ISLAND, WA
    ZIP 98261
  • Facility Phone: 360 468-2616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD D. MCCOY JR
  • NPI Number: 1629071493
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2250803
LAB Type Pharmacy
Facility Name LOPEZ ISLAND PHARMACY
Street 352 LOPEZ RD
City LOPEZ ISLAND
State WA
ZIP 98261
Phone 360 468-2616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director RICHARD D. MCCOY JR

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This page was last updated on: 6/4/2025