23D2145309 CLIA NUMBER - WALMART PHARMACY 10-1542

Laboratory Demographics

  • CLIA Code: 23D2145309
  • Facility Name: WALMART PHARMACY 10-1542
  • Facility Address: 950 EDELWEISS VILLAGE PARKWAY
    GAYLORD, MI
    ZIP 49735
  • Facility Phone: 989 732-8998
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT A. TOWNSEND
  • NPI Number: 1770501199
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2145309
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1542
Street 950 EDELWEISS VILLAGE PARKWAY
City GAYLORD
State MI
ZIP 49735
Phone 989 732-8998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Pharmacy
Lab Director SCOTT A. TOWNSEND

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