50D2174951 CLIA NUMBER - WALMART PHARMACY #10-4394

Laboratory Demographics

  • CLIA Code: 50D2174951
  • Facility Name: WALMART PHARMACY #10-4394
  • Facility Address: 1221 S HAYFORD RD
    SPOKANE, WA
    ZIP 99224
  • Facility Phone: 509 459-0614
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOANNA ZUMBRUN
  • NPI Number: 1457551210
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2174951
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-4394
Street 1221 S HAYFORD RD
City SPOKANE
State WA
ZIP 99224
Phone 509 459-0614
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 JOANNA ZUMBRUN

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