50D2174593 CLIA NUMBER - WALMART PHARMACY #10-2006

Laboratory Demographics

  • CLIA Code: 50D2174593
  • Facility Name: WALMART PHARMACY #10-2006
  • Facility Address: 306 5TH ST
    CLARKSTON, WA
    ZIP 99403
  • Facility Phone: 509 758-6660
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER SMITH
  • NPI Number: 1396977203
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174593
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2006
Street 306 5TH ST
City CLARKSTON
State WA
ZIP 99403
Phone 509 758-6660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2019
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director HEATHER SMITH

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