23D2097535 CLIA NUMBER - WALMART PHARMACY 10-2869

Laboratory Demographics

  • CLIA Code: 23D2097535
  • Facility Name: WALMART PHARMACY 10-2869
  • Facility Address: 409 N MARKETPLACE BLVD
    LANSING, MI
    ZIP 48917
  • Facility Phone: 517 622-1451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAMON E. PLAZA
  • NPI Number: 1467479683
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2097535
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2869
Street 409 N MARKETPLACE BLVD
City LANSING
State MI
ZIP 48917
Phone 517 622-1451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director RAMON E. PLAZA

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