23D2148613 CLIA NUMBER - WALMART PHARMACY 10-2644

Laboratory Demographics

  • CLIA Code: 23D2148613
  • Facility Name: WALMART PHARMACY 10-2644
  • Facility Address: 5825 BROCKWAY ROAD
    SAGINAW, MI
    ZIP 48638
  • Facility Phone: 989 497-8112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY STADLER
  • NPI Number: 1740207968
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2148613
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2644
Street 5825 BROCKWAY ROAD
City SAGINAW
State MI
ZIP 48638
Phone 989 497-8112
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 TIFFANY STADLER

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