23D2129635 CLIA NUMBER - WALMART PHARMACY 10-5893

Laboratory Demographics

  • CLIA Code: 23D2129635
  • Facility Name: WALMART PHARMACY 10-5893
  • Facility Address: 26090 INGERSOL DRIVE
    NOVI, MI
    ZIP 48375
  • Facility Phone: 248 277-4562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHAEL Q. NEIL
  • NPI Number: 1982965455
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2129635
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5893
Street 26090 INGERSOL DRIVE
City NOVI
State MI
ZIP 48375
Phone 248 277-4562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Pharmacy
Lab Director RACHAEL Q. NEIL

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