23D2149446 CLIA NUMBER - WALMART PHARMACY 10-2061

Laboratory Demographics

  • CLIA Code: 23D2149446
  • Facility Name: WALMART PHARMACY 10-2061
  • Facility Address: 412 OAKS XING
    PLAINWELL, MI
    ZIP 49080
  • Facility Phone: 269 685-9820
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANJANA H. PATEL
  • NPI Number: 1467479675
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149446
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2061
Street 412 OAKS XING
City PLAINWELL
State MI
ZIP 49080
Phone 269 685-9820
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 ANJANA H. PATEL

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