13D2150372 CLIA NUMBER - WALMART PHARMACY #10-3472

Laboratory Demographics

  • CLIA Code: 13D2150372
  • Facility Name: WALMART PHARMACY #10-3472
  • Facility Address: 3050 E MULLAN AVE
    POST FALLS, ID
    ZIP 83854
  • Facility Phone: 208 777-4502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHLENE E. BAILEY
  • NPI Number: 1437176781
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2150372
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3472
Street 3050 E MULLAN AVE
City POST FALLS
State ID
ZIP 83854
Phone 208 777-4502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Pharmacy
Lab Director KATHLENE E. BAILEY

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