50D2174944 CLIA NUMBER - WALMART PHARMACY #10-1947

Laboratory Demographics

  • CLIA Code: 50D2174944
  • Facility Name: WALMART PHARMACY #10-1947
  • Facility Address: 902 ENGH RD
    OMAK, WA
    ZIP 98841
  • Facility Phone: 509 826-6146
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATHEW J. PHELAN
  • NPI Number: 1972521631
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174944
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1947
Street 902 ENGH RD
City OMAK
State WA
ZIP 98841
Phone 509 826-6146
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 MATHEW J. PHELAN

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