50D2174954 CLIA NUMBER - WALMART PHARMACY #10-3794

Laboratory Demographics

CLIA Number: 50D2174954

Facility Name: WALMART PHARMACY #10-3794

Facility Address:
34520 16TH AVE S
FEDERAL WAY, WA
ZIP 98003
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Facility Phone Number: 253 835-4976

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1114082187

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	50D2174954
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY #10-3794
Street	34520 16TH AVE S
City	FEDERAL WAY
State	WA
ZIP	98003
Phone	253 835-4976
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