23D2149449 CLIA NUMBER - WALMART PHARMACY 10-2079

Laboratory Demographics

  • CLIA Code: 23D2149449
  • Facility Name: WALMART PHARMACY 10-2079
  • Facility Address: 3225 US 41 W
    MARQUETTE, MI
    ZIP 49855
  • Facility Phone: 906 226-5015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY S. HARRINGTON
  • NPI Number: 1962420398
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149449
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2079
Street 3225 US 41 W
City MARQUETTE
State MI
ZIP 49855
Phone 906 226-5015
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 COURTNEY S. HARRINGTON

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