23D2149435 CLIA NUMBER - WALMART 10-1790

Laboratory Demographics

  • CLIA Code: 23D2149435
  • Facility Name: WALMART 10-1790
  • Facility Address: 2150 N TELEGRAPH ROAD
    MONROE, MI
    ZIP 48162
  • Facility Phone: 734 242-2385
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VALERIE L. DESMOND
  • NPI Number: 1386661593
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149435
LAB Type Pharmacy
Facility Name WALMART 10-1790
Street 2150 N TELEGRAPH ROAD
City MONROE
State MI
ZIP 48162
Phone 734 242-2385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Pharmacy
Lab Director VALERIE L. DESMOND

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