50D2174953 CLIA NUMBER - WALMART PHARMACY #10-3757

Laboratory Demographics

  • CLIA Code: 50D2174953
  • Facility Name: WALMART PHARMACY #10-3757
  • Facility Address: 4010 172ND ST NE
    ARLINGTON, WA
    ZIP 98223
  • Facility Phone: 360 386-4539
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAN AU
  • NPI Number: 1386951341
  • Taxonomy: 3336C0003X - Pharmacy

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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
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 DAN AU

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