50D2177768 CLIA NUMBER - WALMART PHARMACY #10-2016

Laboratory Demographics

  • CLIA Code: 50D2177768
  • Facility Name: WALMART PHARMACY #10-2016
  • Facility Address: 810 N HIGHWAY
    COLVILLE, WA
    ZIP 99114
  • Facility Phone: 509 684-2973
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARLA HODGSON
  • NPI Number: 1659398774
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2177768
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2016
Street 810 N HIGHWAY
City COLVILLE
State WA
ZIP 99114
Phone 509 684-2973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director DARLA HODGSON

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