CLIA lab
CLIA 50D2177781: Walmart Pharmacy 10-5628
Monroe, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2177781 belongs to Walmart Pharmacy 10-5628 in Monroe, WA.
Certificate of Waiver, effective January 17, 2020, 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
- January 17, 2020
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 17, 2020
- 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
- 50D2177781
- Lab name
- Walmart Pharmacy 10-5628
- Address
- 19191 N Kelsey St, Monroe, WA 98272
- Phone
- (360) 365-4036
- Fax
- (360) 365-4037
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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- Ascend Primary CareCertificate of Waiver, Community clinic50D2329845
- Brookdale Monroe Assisted Living FacilityCertificate of Waiver, Assisted living facility50D2055866
- Christy Tender Care Afh LLCCertificate of Waiver, Other50D2312086
- Evergreen Health MonroeCertificate of Compliance, Hospital50D0690275
- Evergreen Health Urgent Care, MonroeCertificate of Waiver, Physician office50D2257803
- Evergreenhealth Primary Care, MonroeCertificate of Waiver, Physician office50D2257159
- Fairfax Behavioral Health MonroeCertificate of Waiver, Hospital50D2102737
- Fred Meyer Pharmacy #210Certificate of Waiver, Pharmacy50D0965106
- Monroe Correctional ComplexCertificate for Provider-Performed Microscopy Procedures, Prison50D0882362
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-5628 in Monroe?
50D2177781, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-5628 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2177781 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect January 17, 2020.