24D2153935 CLIA NUMBER - WALMART PHARMACY 10-2448

Laboratory Demographics

  • CLIA Code: 24D2153935
  • Facility Name: WALMART PHARMACY 10-2448
  • Facility Address: 9300 EAST POINT DOUGLAS RD S
    COTTAGE GROVE, MN
    ZIP 55016
  • Facility Phone: 651 846-2834
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSANDRA RITSCHE
  • NPI Number: 1730519562
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153935
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2448
Street 9300 EAST POINT DOUGLAS RD S
City COTTAGE GROVE
State MN
ZIP 55016
Phone 651 846-2834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Pharmacy
Lab Director CASSANDRA RITSCHE

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