23D2149440 CLIA NUMBER - WALMART PHARMACY 10-1928

Laboratory Demographics

  • CLIA Code: 23D2149440
  • Facility Name: WALMART PHARMACY 10-1928
  • Facility Address: 4313 CORUNNA ROAD
    FLINT, MI
    ZIP 48532
  • Facility Phone: 810 733-3355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA BUCHANAN
  • NPI Number: 1912924127
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149440
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1928
Street 4313 CORUNNA ROAD
City FLINT
State MI
ZIP 48532
Phone 810 733-3355
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 AMANDA BUCHANAN

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This page was last updated on: 3/20/2025