50D2301393 CLIA NUMBER - TUKWILA STATION PHARMACY

Laboratory Demographics

  • CLIA Code: 50D2301393
  • Facility Name: TUKWILA STATION PHARMACY
  • Facility Address: 15320 33RD AVE S UNIT 222
    SEATAC, WA
    ZIP 98188
  • Facility Phone: 206 388-3807
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABDIKADIR ATHUR
  • NPI Number: 1487343919
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2301393
LAB Type Pharmacy
Facility Name TUKWILA STATION PHARMACY
Street 15320 33RD AVE S UNIT 222
City SEATAC
State WA
ZIP 98188
Phone 206 388-3807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director ABDIKADIR ATHUR

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