CLIA lab

CLIA 50D2175089: Walmart Pharmacy #10-5272

Poulsbo, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 50D2175089 belongs to Walmart Pharmacy #10-5272 in Poulsbo, WA.

Certificate of Waiver, effective November 14, 2019, expires April 4, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 14, 2019
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
November 14, 2019
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA exempt laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
50D2175089
Lab name
Walmart Pharmacy #10-5272
Address
21200 Olhava Way NW, Poulsbo, WA 98370
Phone
(360) 697-2091
Fax
(360) 697-2375

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walmart Pharmacy #10-5272 in Poulsbo?

50D2175089, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-5272 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2175089 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect November 14, 2019.

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