50D2174596 CLIA NUMBER - WALMART PHARMACY #10-2269

Laboratory Demographics

  • CLIA Code: 50D2174596
  • Facility Name: WALMART PHARMACY #10-2269
  • Facility Address: 1600 E CHESTNUT AVE
    YAKIMA, WA
    ZIP 98901
  • Facility Phone: 509 248-3855
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SRINIVASA REPALLE
  • NPI Number: 1194742213
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174596
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2269
Street 1600 E CHESTNUT AVE
City YAKIMA
State WA
ZIP 98901
Phone 509 248-3855
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 SRINIVASA REPALLE

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