23D2097538 CLIA NUMBER - WALMART PHARMACY 10-5065

Laboratory Demographics

  • CLIA Code: 23D2097538
  • Facility Name: WALMART PHARMACY 10-5065
  • Facility Address: 501 N 9TH STREET
    KALAMAZOO, MI
    ZIP 49009
  • Facility Phone: 269 544-2943
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMUEL WILBERFORCE
  • NPI Number: 1740207232
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2097538
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5065
Street 501 N 9TH STREET
City KALAMAZOO
State MI
ZIP 49009
Phone 269 544-2943
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 SAMUEL WILBERFORCE

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