50D2328928 CLIA NUMBER - CVS PHARMACY #11683

Laboratory Demographics

  • CLIA Code: 50D2328928
  • Facility Name: CVS PHARMACY #11683
  • Facility Address: 2929 EAST 29TH AVENUE
    SPOKANE, WA
    ZIP 99223
  • Facility Phone: 509 535-9056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS KAVRAN
  • NPI Number: 1003227505
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2328928
LAB Type Pharmacy
Facility Name CVS PHARMACY #11683
Street 2929 EAST 29TH AVENUE
City SPOKANE
State WA
ZIP 99223
Phone 509 535-9056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
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