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23D2127506 CLIA NUMBER - WALMART PHARMACY 10-1836

Laboratory Demographics

CLIA Number: 23D2127506

Facility Name: WALMART PHARMACY 10-1836

Facility Address:
1601 E U S HIGHWAY 223
ADRIAN, MI
ZIP 49221
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Facility Phone Number: 479 277-9600

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1003833211

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 23D2127506
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1836
Street 1601 E U S HIGHWAY 223
City ADRIAN
State MI
ZIP 49221
Phone 479 277-9600
CertificateType 4
CertificateEffectiveDate 3/14/2023
CertificateExpirationDate 3/13/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024