23D2155621 CLIA NUMBER - WALMART PHARMACY 10-2620

Laboratory Demographics

  • CLIA Code: 23D2155621
  • Facility Name: WALMART PHARMACY 10-2620
  • Facility Address: 1618 W M 43 HIGHWAY
    HASTINGS, MI
    ZIP 49058
  • Facility Phone: 269 948-0481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANKLIN BROWN
  • NPI Number: 1386661502
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2155621
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2620
Street 1618 W M 43 HIGHWAY
City HASTINGS
State MI
ZIP 49058
Phone 269 948-0481
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 FRANKLIN BROWN

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