50D2175094 CLIA NUMBER - WALMART PHARMACY #10-2865

Laboratory Demographics

  • CLIA Code: 50D2175094
  • Facility Name: WALMART PHARMACY #10-2865
  • Facility Address: 2301 W WELLESLEY AVE
    SPOKANE, WA
    ZIP 99205
  • Facility Phone: 509 327-2015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN MINIAJLUK
  • NPI Number: 1992722011
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2175094
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2865
Street 2301 W WELLESLEY AVE
City SPOKANE
State WA
ZIP 99205
Phone 509 327-2015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2019
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director CHRISTIAN MINIAJLUK

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