23D2155612 CLIA NUMBER - WALMART PHARMACY 10-1809

Laboratory Demographics

  • CLIA Code: 23D2155612
  • Facility Name: WALMART PHARMACY 10-1809
  • Facility Address: 701 OLDS STREET
    JONESVILLE, MI
    ZIP 49250
  • Facility Phone: 517 849-7011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSANDRA JONES
  • NPI Number: 1194742304
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2155612
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1809
Street 701 OLDS STREET
City JONESVILLE
State MI
ZIP 49250
Phone 517 849-7011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Pharmacy
Lab Director CASSANDRA JONES

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