23D2097533 CLIA NUMBER - WALMART PHARMACY 10-3726

Laboratory Demographics

  • CLIA Code: 23D2097533
  • Facility Name: WALMART PHARMACY 10-3726
  • Facility Address: 6170 S SAGINAW ROAD
    GRAND BLANC, MI
    ZIP 48439
  • Facility Phone: 810 603-9765
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRADLEY BEHREND
  • NPI Number: 1629095096
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2097533
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3726
Street 6170 S SAGINAW ROAD
City GRAND BLANC
State MI
ZIP 48439
Phone 810 603-9765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director BRADLEY BEHREND

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