23D2149451 CLIA NUMBER - WALMART PHARMACY 10-2102

Laboratory Demographics

  • CLIA Code: 23D2149451
  • Facility Name: WALMART PHARMACY 10-2102
  • Facility Address: 4854 W US HIGHWAY 10
    LUDINGTON, MI
    ZIP 49431
  • Facility Phone: 231 845-5873
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BECKY S. DURFEE
  • NPI Number: 1285651497
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149451
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2102
Street 4854 W US HIGHWAY 10
City LUDINGTON
State MI
ZIP 49431
Phone 231 845-5873
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 BECKY S. DURFEE

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