50D2174661 CLIA NUMBER - WALMART PHARMACY #10-5078

Laboratory Demographics

  • CLIA Code: 50D2174661
  • Facility Name: WALMART PHARMACY #10-5078
  • Facility Address: 6600 W NOB HILL BLVD
    YAKIMA, WA
    ZIP 98908
  • Facility Phone: 509 966-3814
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID L. HOLLAND
  • NPI Number: 1487887501
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174661
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5078
Street 6600 W NOB HILL BLVD
City YAKIMA
State WA
ZIP 98908
Phone 509 966-3814
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 DAVID L. HOLLAND

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