23D2127509 CLIA NUMBER - WALMART PHARMACY 10-1593

Laboratory Demographics

  • CLIA Code: 23D2127509
  • Facility Name: WALMART PHARMACY 10-1593
  • Facility Address: 800 E CHICAGO STREET
    COLDWATER, MI
    ZIP 49036
  • Facility Phone: 517 278-5897
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NARGES GOL
  • NPI Number: 1902823214
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2127509
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1593
Street 800 E CHICAGO STREET
City COLDWATER
State MI
ZIP 49036
Phone 517 278-5897
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 NARGES GOL

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