23D2127492 CLIA NUMBER - WALMART PHARMACY 10-3458

Laboratory Demographics

  • CLIA Code: 23D2127492
  • Facility Name: WALMART PHARMACY 10-3458
  • Facility Address: 2755 W HOLTON WHITEHALL ROAD
    WHITEHALL, MI
    ZIP 49461
  • Facility Phone: 231 893-5488
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MITCHELL R. KARDUX
  • NPI Number: 1851830079
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2127492
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3458
Street 2755 W HOLTON WHITEHALL ROAD
City WHITEHALL
State MI
ZIP 49461
Phone 231 893-5488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director MITCHELL R. KARDUX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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