23D2121473 CLIA NUMBER - WALMART PHARMACY #10-2873

Laboratory Demographics

  • CLIA Code: 23D2121473
  • Facility Name: WALMART PHARMACY #10-2873
  • Facility Address: 2001 W MAPLE ROAD
    TROY, MI
    ZIP 48084
  • Facility Phone: 248 435-4556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZAHI R. FAWAZ
  • NPI Number: 1083064372
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2121473
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2873
Street 2001 W MAPLE ROAD
City TROY
State MI
ZIP 48084
Phone 248 435-4556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Pharmacy
Lab Director ZAHI R. FAWAZ

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