50D2251227 CLIA NUMBER - PACIFIC NW SPECIALTY PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 50D2251227
  • Facility Name: PACIFIC NW SPECIALTY PHARMACY, LLC
  • Facility Address: 3801 MAIN ST STE A
    VANCOUVER, WA
    ZIP 98663
  • Facility Phone: 360 448-7890
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANET L. COLEMAN
  • NPI Number: 1346595303
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2251227
LAB Type Pharmacy
Facility Name PACIFIC NW SPECIALTY PHARMACY, LLC
Street 3801 MAIN ST STE A
City VANCOUVER
State WA
ZIP 98663
Phone 360 448-7890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JANET L. COLEMAN

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