50D2174658 CLIA NUMBER - WALMART PHARMACY #10-3380

Laboratory Demographics

  • CLIA Code: 50D2174658
  • Facility Name: WALMART PHARMACY #10-3380
  • Facility Address: 4820 N ROAD 68
    PASCO, WA
    ZIP 99301
  • Facility Phone: 509 543-7947
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FADI HAMAD
  • NPI Number: 1376560409
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174658
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3380
Street 4820 N ROAD 68
City PASCO
State WA
ZIP 99301
Phone 509 543-7947
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 FADI HAMAD

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