50D2175100 CLIA NUMBER - WALMART PHARMACY #10-2385

Laboratory Demographics

  • CLIA Code: 50D2175100
  • Facility Name: WALMART PHARMACY #10-2385
  • Facility Address: 762 OUTLET COLLECTION WAY
    AUBURN, WA
    ZIP 98001
  • Facility Phone: 253 735-0708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FERAS RABI
  • NPI Number: 1821015942
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2175100
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2385
Street 762 OUTLET COLLECTION WAY
City AUBURN
State WA
ZIP 98001
Phone 253 735-0708
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 FERAS RABI

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