23D2127506 CLIA NUMBER - WALMART PHARMACY 10-1836

Laboratory Demographics

  • CLIA Code: 23D2127506
  • Facility Name: WALMART PHARMACY 10-1836
  • Facility Address: 1601 E U S HIGHWAY 223
    ADRIAN, MI
    ZIP 49221
  • Facility Phone: (479) 277-9600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN RYBICKI
  • NPI Number: 1003833211
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2127506
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1836
Street 1601 E U S HIGHWAY 223
City ADRIAN
State MI
ZIP 49221
Phone 4792779600
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 KEVIN RYBICKI

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This page was last updated on: 5/18/2026