50D2175097 CLIA NUMBER - WALMART PHARMACY #10-3098

Laboratory Demographics

  • CLIA Code: 50D2175097
  • Facility Name: WALMART PHARMACY #10-3098
  • Facility Address: 15063 MAIN ST
    BELLEVUE, WA
    ZIP 98007
  • Facility Phone: 425 643-8015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANNY KIN HO KWAN
  • NPI Number: 1407113293
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2175097
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3098
Street 15063 MAIN ST
City BELLEVUE
State WA
ZIP 98007
Phone 425 643-8015
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 DANNY KIN HO KWAN

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