23D2129640 CLIA NUMBER - WALMART PHARMACY 10-1752

Laboratory Demographics

  • CLIA Code: 23D2129640
  • Facility Name: WALMART PHARMACY 10-1752
  • Facility Address: 3921 WILDER ROAD
    BAY CITY, MI
    ZIP 48706
  • Facility Phone: 989 684-1887
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABDALLAH H. HIJAZI
  • NPI Number: 1740207950
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2129640
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1752
Street 3921 WILDER ROAD
City BAY CITY
State MI
ZIP 48706
Phone 989 684-1887
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 ABDALLAH H. HIJAZI

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