50D2177773 CLIA NUMBER - WALMART PHARMACY #10-3537

Laboratory Demographics

  • CLIA Code: 50D2177773
  • Facility Name: WALMART PHARMACY #10-3537
  • Facility Address: 7001 BRIDGEPORT WAY W
    LAKEWOOD, WA
    ZIP 98499
  • Facility Phone: 253 512-0960
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ADAM MAN
  • NPI Number: 1336290352
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2177773
LAB Type Rural Health Clinic
Facility Name WALMART PHARMACY #10-3537
Street 7001 BRIDGEPORT WAY W
City LAKEWOOD
State WA
ZIP 98499
Phone 253 512-0960
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 Rural Health Clinic
Lab Director ADAM MAN

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