23D2127578 CLIA NUMBER - WALMART PHARMACY 10-4540

Laboratory Demographics

  • CLIA Code: 23D2127578
  • Facility Name: WALMART PHARMACY 10-4540
  • Facility Address: 970 GEHRINGER DRIVE
    FOWLERVILLE, MI
    ZIP 48836
  • Facility Phone: 517 223-1106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GOHAR QADEER
  • NPI Number: 1578934980
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 23D2127578
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4540
Street 970 GEHRINGER DRIVE
City FOWLERVILLE
State MI
ZIP 48836
Phone 517 223-1106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director GOHAR QADEER

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