50D2252122 CLIA NUMBER - TEKOA PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2252122
  • Facility Name: TEKOA PHARMACY
  • Facility Address: 124 N CROSBY ST
    TEKOA, WA
    ZIP 99033
  • Facility Phone: 509 284-4205
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICIA PRIMMER
  • NPI Number: 1710046180
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2252122
LAB Type Pharmacy
Facility Name TEKOA PHARMACY
Street 124 N CROSBY ST
City TEKOA
State WA
ZIP 99033
Phone 509 284-4205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director PATRICIA PRIMMER

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