50D2174660 CLIA NUMBER - WALMART PHARMACY #10-5073

Laboratory Demographics

  • CLIA Code: 50D2174660
  • Facility Name: WALMART PHARMACY #10-5073
  • Facility Address: 17432 SE 270TH PL
    COVINGTON, WA
    ZIP 98042
  • Facility Phone: 253 630-8682
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE TRAN NGUYEN
  • NPI Number: 1467479592
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174660
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5073
Street 17432 SE 270TH PL
City COVINGTON
State WA
ZIP 98042
Phone 253 630-8682
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 ANNE TRAN NGUYEN

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