23D2127493 CLIA NUMBER - WALMART PHARMACY 10-1936

Laboratory Demographics

  • CLIA Code: 23D2127493
  • Facility Name: WALMART PHARMACY 10-1936
  • Facility Address: 3763 I-75 BUSINESS SPUR
    SAULT SAINTE MARIE, MI
    ZIP 49783
  • Facility Phone: 906 632-0582
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA ESSLIN
  • NPI Number: 1144248576
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2127493
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1936
Street 3763 I-75 BUSINESS SPUR
City SAULT SAINTE MARIE
State MI
ZIP 49783
Phone 906 632-0582
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 KRISTA ESSLIN

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