50D2175102 CLIA NUMBER - WALMART PHARMACY #10-2595

Laboratory Demographics

  • CLIA Code: 50D2175102
  • Facility Name: WALMART PHARMACY #10-2595
  • Facility Address: 8924 QUILCEDA BLVD
    MARYSVILLE, WA
    ZIP 98271
  • Facility Phone: 360 657-1223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAN AU
  • NPI Number: 1568489698
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2175102
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2595
Street 8924 QUILCEDA BLVD
City MARYSVILLE
State WA
ZIP 98271
Phone 360 657-1223
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 DAN AU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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