50D2329618 CLIA NUMBER - CVS PHARMACY #11665

Laboratory Demographics

  • CLIA Code: 50D2329618
  • Facility Name: CVS PHARMACY #11665
  • Facility Address: 10116 NE 8TH ST STE 6
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 454-2468
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN LANDETA
  • NPI Number: 1750751590
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2329618
LAB Type Pharmacy
Facility Name CVS PHARMACY #11665
Street 10116 NE 8TH ST STE 6
City BELLEVUE
State WA
ZIP 98004
Phone 425 454-2468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
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