50D2256252 CLIA NUMBER - VALLEY DRUG CO

Laboratory Demographics

  • CLIA Code: 50D2256252
  • Facility Name: VALLEY DRUG CO
  • Facility Address: 102 E MAIN AVE
    CHEWELAH, WA
    ZIP 99109
  • Facility Phone: 509 935-8611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN PERSON
  • NPI Number: 1659413110
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2256252
LAB Type Pharmacy
Facility Name VALLEY DRUG CO
Street 102 E MAIN AVE
City CHEWELAH
State WA
ZIP 99109
Phone 509 935-8611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2022
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director DUSTIN PERSON

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