50D2175101 CLIA NUMBER - WALMART PHARMACY #10-2539

Laboratory Demographics

  • CLIA Code: 50D2175101
  • Facility Name: WALMART PHARMACY #10-2539
  • Facility Address: 15727 E BROADWAY AVE
    SPOKANE VALLEY, WA
    ZIP 99037
  • Facility Phone: 509 922-9047
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF SIMPSON
  • NPI Number: 1720005846
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2175101
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2539
Street 15727 E BROADWAY AVE
City SPOKANE VALLEY
State WA
ZIP 99037
Phone 509 922-9047
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 JEFF SIMPSON

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