50D2162793 CLIA NUMBER - WALLA WALLA WELLNESS

Laboratory Demographics

  • CLIA Code: 50D2162793
  • Facility Name: WALLA WALLA WELLNESS
  • Facility Address: 694 S ROSE ST
    WALLA WALLA, WA
    ZIP 99362
  • Facility Phone: (509) 386-7052
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRUDY SHARP
  • NPI Number: 1013299965
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2162793
LAB Type Physician Office
Facility Name WALLA WALLA WELLNESS
Street 694 S ROSE ST
City WALLA WALLA
State WA
ZIP 99362
Phone 5093867052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2019
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director TRUDY SHARP

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This page was last updated on: 5/15/2026