50D2328930 CLIA NUMBER - CVS PHARMACY #11638

Laboratory Demographics

  • CLIA Code: 50D2328930
  • Facility Name: CVS PHARMACY #11638
  • Facility Address: 101 NORTH ELY STREET
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 783-1483
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS KAVRAN
  • NPI Number: 1215950514
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2328930
LAB Type Pharmacy
Facility Name CVS PHARMACY #11638
Street 101 NORTH ELY STREET
City KENNEWICK
State WA
ZIP 99336
Phone 509 783-1483
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