50D2253731 CLIA NUMBER - LAKESIDE PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2253731
  • Facility Name: LAKESIDE PHARMACY
  • Facility Address: 1117 MAIN ST
    OROVILLE, WA
    ZIP 98844
  • Facility Phone: 509 476-4747
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE STEINMAN
  • NPI Number: 1811407414
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2253731
LAB Type Pharmacy
Facility Name LAKESIDE PHARMACY
Street 1117 MAIN ST
City OROVILLE
State WA
ZIP 98844
Phone 509 476-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director STEPHANIE STEINMAN

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