23D2097537 CLIA NUMBER - WALMART PHARMACY 10-1754

Laboratory Demographics

  • CLIA Code: 23D2097537
  • Facility Name: WALMART PHARMACY 10-1754
  • Facility Address: 3850 E GRAND RIVER AVENUE
    HOWELL, MI
    ZIP 48843
  • Facility Phone: 517 548-9511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER MAC DONALD
  • NPI Number: 1548287857
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2097537
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1754
Street 3850 E GRAND RIVER AVENUE
City HOWELL
State MI
ZIP 48843
Phone 517 548-9511
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 JENNIFER MAC DONALD

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