24D2154317 CLIA NUMBER - WALMART PHARMACY 10-1929

Laboratory Demographics

  • CLIA Code: 24D2154317
  • Facility Name: WALMART PHARMACY 10-1929
  • Facility Address: 1308 HIGHWAY 33 S
    CLOQUET, MN
    ZIP 55720
  • Facility Phone: 218 878-0676
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH ROSENDAHL
  • NPI Number: 1992722375
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2154317
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1929
Street 1308 HIGHWAY 33 S
City CLOQUET
State MN
ZIP 55720
Phone 218 878-0676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director HANNAH ROSENDAHL

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