50D2254971 CLIA NUMBER - HEDDENS PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2254971
  • Facility Name: HEDDENS PHARMACY
  • Facility Address: 196 SUSSEX AVE W
    TENINO, WA
    ZIP 98589
  • Facility Phone: 360 264-2575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS COLLINS
  • NPI Number: 1124772850
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2254971
LAB Type Pharmacy
Facility Name HEDDENS PHARMACY
Street 196 SUSSEX AVE W
City TENINO
State WA
ZIP 98589
Phone 360 264-2575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director TRAVIS COLLINS

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