23D2148611 CLIA NUMBER - WALMART PHARMACY 10-5159

Laboratory Demographics

  • CLIA Code: 23D2148611
  • Facility Name: WALMART PHARMACY 10-5159
  • Facility Address: 2750 COOK ROAD
    WEST BRANCH, MI
    ZIP 48661
  • Facility Phone: 989 343-9761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUG WHITE
  • NPI Number: 1558388926
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2148611
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5159
Street 2750 COOK ROAD
City WEST BRANCH
State MI
ZIP 48661
Phone 989 343-9761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Pharmacy
Lab Director DOUG WHITE

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