50D2177780 CLIA NUMBER - WALMART PHARMACY #10-2037

Laboratory Demographics

  • CLIA Code: 50D2177780
  • Facility Name: WALMART PHARMACY #10-2037
  • Facility Address: 909 E WISHKAH ST
    ABERDEEN, WA
    ZIP 98520
  • Facility Phone: 360 532-7875
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRASER CZAJKOWSKI
  • NPI Number: 1881612547
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2177780
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2037
Street 909 E WISHKAH ST
City ABERDEEN
State WA
ZIP 98520
Phone 360 532-7875
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 FRASER CZAJKOWSKI

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