23D2149444 CLIA NUMBER - WALMART PHARMACY 10-2014

Laboratory Demographics

  • CLIA Code: 23D2149444
  • Facility Name: WALMART PHARMACY 10-2014
  • Facility Address: 2129 W HOUGHTON LAKE
    HOUGHTON LAKE, MI
    ZIP 48629
  • Facility Phone: 989 366-6533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY ENGLISH
  • NPI Number: 1649297854
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149444
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2014
Street 2129 W HOUGHTON LAKE
City HOUGHTON LAKE
State MI
ZIP 48629
Phone 989 366-6533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Pharmacy
Lab Director ASHLEY ENGLISH

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