23D2121474 CLIA NUMBER - WALMART PHARMACY 10-2866

Laboratory Demographics

  • CLIA Code: 23D2121474
  • Facility Name: WALMART PHARMACY 10-2866
  • Facility Address: 5110 TIMES SQUARE
    OKEMOS, MI
    ZIP 48864
  • Facility Phone: 517 381-8267
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUBHASH PATEL
  • NPI Number: 1144310533
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 23D2121474
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2866
Street 5110 TIMES SQUARE
City OKEMOS
State MI
ZIP 48864
Phone 517 381-8267
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 SUBHASH PATEL

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