50D2174939 CLIA NUMBER - WALMART PHARMACY 10-2187

Laboratory Demographics

  • CLIA Code: 50D2174939
  • Facility Name: WALMART PHARMACY 10-2187
  • Facility Address: 2000 N WENATCHEE AVE
    WENATCHEE, WA
    ZIP 98801
  • Facility Phone: 509 664-3698
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA RADER
  • NPI Number: 1740207869
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174939
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2187
Street 2000 N WENATCHEE AVE
City WENATCHEE
State WA
ZIP 98801
Phone 509 664-3698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2019
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director LAURA RADER

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