50D2175096 CLIA NUMBER - WALMART PHARMACY #10-3260

Laboratory Demographics

  • CLIA Code: 50D2175096
  • Facility Name: WALMART PHARMACY #10-3260
  • Facility Address: 1399 NAT WASHINGTON WAY
    EPHRATA, WA
    ZIP 98823
  • Facility Phone: 509 754-8847
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DALE A. RADER
  • NPI Number: 1437606167
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 50D2175096
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3260
Street 1399 NAT WASHINGTON WAY
City EPHRATA
State WA
ZIP 98823
Phone 509 754-8847
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 DALE A. RADER

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