23D2145311 CLIA NUMBER - WALMART PHARMACY 10-5280

Laboratory Demographics

  • CLIA Code: 23D2145311
  • Facility Name: WALMART PHARMACY 10-5280
  • Facility Address: 8350 SHAVER ROAD
    PORTAGE, MI
    ZIP 49024
  • Facility Phone: 269 323-3959
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMAN T. ALMAWERI
  • NPI Number: 1639196009
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2145311
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5280
Street 8350 SHAVER ROAD
City PORTAGE
State MI
ZIP 49024
Phone 269 323-3959
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 AIMAN T. ALMAWERI

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