50D2174953 CLIA NUMBER - WALMART PHARMACY #10-3757

Laboratory Demographics

CLIA Number: 50D2174953

Facility Name: WALMART PHARMACY #10-3757

Facility Address:
4010 172ND ST NE
ARLINGTON, WA
ZIP 98223
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Facility Phone Number: 360 386-4539

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386951341

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	50D2174953
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY #10-3757
Street	4010 172ND ST NE
City	ARLINGTON
State	WA
ZIP	98223
Phone	360 386-4539
CertificateType	4
CertificateEffectiveDate	11/12/2019
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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