50D2175098 CLIA NUMBER - WALMART PHARMACY #10-2007

Laboratory Demographics

  • CLIA Code: 50D2175098
  • Facility Name: WALMART PHARMACY #10-2007
  • Facility Address: 1005 N STRATFORD RD
    MOSES LAKE, WA
    ZIP 98837
  • Facility Phone: 509 664-3698
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMILLE EVANS
  • NPI Number: 1386661403
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2175098
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2007
Street 1005 N STRATFORD RD
City MOSES LAKE
State WA
ZIP 98837
Phone 509 664-3698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2019
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director CAMILLE EVANS

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This page was last updated on: 3/20/2025