50D2177771 CLIA NUMBER - WALMART PHARMACY #10-5462

Laboratory Demographics

  • CLIA Code: 50D2177771
  • Facility Name: WALMART PHARMACY #10-5462
  • Facility Address: 430 SE 192ND AVE
    VANCOUVER, WA
    ZIP 98683
  • Facility Phone: 360 256-6361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICIA SWITZER
  • NPI Number: 1093732125
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2177771
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5462
Street 430 SE 192ND AVE
City VANCOUVER
State WA
ZIP 98683
Phone 360 256-6361
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 PATRICIA SWITZER

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