50D2253063 CLIA NUMBER - PURDY COSTLESS PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2253063
  • Facility Name: PURDY COSTLESS PHARMACY
  • Facility Address: 14218 92ND AVE NW
    GIG HARBOR, WA
    ZIP 98329
  • Facility Phone: 253 857-7797
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATT T. WEISSER
  • NPI Number: 1205580933
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2253063
LAB Type Pharmacy
Facility Name PURDY COSTLESS PHARMACY
Street 14218 92ND AVE NW
City GIG HARBOR
State WA
ZIP 98329
Phone 253 857-7797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director MATT T. WEISSER

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