50D2328266 CLIA NUMBER - CVS PHARMACY #11689

Laboratory Demographics

  • CLIA Code: 50D2328266
  • Facility Name: CVS PHARMACY #11689
  • Facility Address: 8862 161ST AVE NE STE 102
    REDMOND, WA
    ZIP 98052
  • Facility Phone: 425 883-9532
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS KAVRAN
  • NPI Number: 1245313592
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2328266
LAB Type Pharmacy
Facility Name CVS PHARMACY #11689
Street 8862 161ST AVE NE STE 102
City REDMOND
State WA
ZIP 98052
Phone 425 883-9532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director THOMAS KAVRAN

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