23D2129640 CLIA NUMBER - WALMART PHARMACY 10-1752

Laboratory Demographics

CLIA Number: 23D2129640

Facility Name: WALMART PHARMACY 10-1752

Facility Address:
3921 WILDER ROAD
BAY CITY, MI
ZIP 48706
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Facility Phone Number: 989 684-1887

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740207950

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	23D2129640
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-1752
Street	3921 WILDER ROAD
City	BAY CITY
State	MI
ZIP	48706
Phone	989 684-1887
CertificateType	4
CertificateEffectiveDate	4/24/2023
CertificateExpirationDate	4/23/2025
FacilityType	Waiver

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