50D2174940 CLIA NUMBER - WALMART PHARMACY #10-2317

Laboratory Demographics

  • CLIA Code: 50D2174940
  • Facility Name: WALMART PHARMACY #10-2317
  • Facility Address: 6797 STATE HIGHWAY 303 NE
    BREMERTON, WA
    ZIP 98311
  • Facility Phone: 360 698-3446
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRAJAKTA P. ALBRECHT
  • NPI Number: 1376560490
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174940
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2317
Street 6797 STATE HIGHWAY 303 NE
City BREMERTON
State WA
ZIP 98311
Phone 360 698-3446
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 PRAJAKTA P. ALBRECHT

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