23D2149498 CLIA NUMBER - WALMART PHARMACY 10-3876

Laboratory Demographics

  • CLIA Code: 23D2149498
  • Facility Name: WALMART PHARMACY 10-3876
  • Facility Address: 3285 HENRY STREET
    MUSKEGON, MI
    ZIP 49441
  • Facility Phone: 231 739-4724
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAIPAL HOODA
  • NPI Number: 1477570968
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149498
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3876
Street 3285 HENRY STREET
City MUSKEGON
State MI
ZIP 49441
Phone 231 739-4724
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 JAIPAL HOODA

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