50D2329395 CLIA NUMBER - CVS PHARMACY #11688

Laboratory Demographics

  • CLIA Code: 50D2329395
  • Facility Name: CVS PHARMACY #11688
  • Facility Address: 9010 MARKET PLACE
    LAKE STEVENS, WA
    ZIP 98258
  • Facility Phone: 425 334-4028
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN LANDETA
  • NPI Number: 1548282239
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2329395
LAB Type Pharmacy
Facility Name CVS PHARMACY #11688
Street 9010 MARKET PLACE
City LAKE STEVENS
State WA
ZIP 98258
Phone 425 334-4028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director LAUREN LANDETA

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