23D2121475 CLIA NUMBER - WALMART STORES EAST, LP DBA WALMART PHARMACY #10-2867

Laboratory Demographics

  • CLIA Code: 23D2121475
  • Facility Name: WALMART STORES EAST, LP DBA WALMART PHARMACY #10-2867
  • Facility Address: 3225 TOWNE CENTRE BLVD
    LANSING, MI
    ZIP 48912
  • Facility Phone: 479 204-2073
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONALD A. HIRN
  • NPI Number: 1902823370
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2121475
LAB Type Pharmacy
Facility Name WALMART STORES EAST, LP DBA WALMART PHARMACY #10-2867
Street 3225 TOWNE CENTRE BLVD
City LANSING
State MI
ZIP 48912
Phone 479 204-2073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Pharmacy
Lab Director DONALD A. HIRN

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