23D2149446 CLIA NUMBER - WALMART PHARMACY 10-2061

Laboratory Demographics

CLIA Number: 23D2149446

Facility Name: WALMART PHARMACY 10-2061

Facility Address:
412 OAKS XING
PLAINWELL, MI
ZIP 49080
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Facility Phone Number: 269 685-9820

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467479675

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	23D2149446
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-2061
Street	412 OAKS XING
City	PLAINWELL
State	MI
ZIP	49080
Phone	269 685-9820
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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