50D2174944 CLIA NUMBER - WALMART PHARMACY #10-1947

Laboratory Demographics

CLIA Number: 50D2174944

Facility Name: WALMART PHARMACY #10-1947

Facility Address:
902 ENGH RD
OMAK, WA
ZIP 98841
Get Directions

Facility Phone Number: 509 826-6146

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972521631

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	11/12/2019
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024