50D2254902 CLIA NUMBER - CENTRALIA PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2254902
  • Facility Name: CENTRALIA PHARMACY
  • Facility Address: 417 S TOWER AVE
    CENTRALIA, WA
    ZIP 98531
  • Facility Phone: 360 736-5000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY QUINBY
  • NPI Number: 1336686039
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2254902
LAB Type Pharmacy
Facility Name CENTRALIA PHARMACY
Street 417 S TOWER AVE
City CENTRALIA
State WA
ZIP 98531
Phone 360 736-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director COURTNEY QUINBY

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