50D2256268 CLIA NUMBER - KETTLE FALLS PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2256268
  • Facility Name: KETTLE FALLS PHARMACY
  • Facility Address: 280 W 3RD AVE
    KETTLE FALLS, WA
    ZIP 99141
  • Facility Phone: 509 738-2223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN PERSON
  • NPI Number: 1821128539
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2256268
LAB Type Pharmacy
Facility Name KETTLE FALLS PHARMACY
Street 280 W 3RD AVE
City KETTLE FALLS
State WA
ZIP 99141
Phone 509 738-2223
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