23D2149453 CLIA NUMBER - WALMART PHARMACY 10-2273

Laboratory Demographics

  • CLIA Code: 23D2149453
  • Facility Name: WALMART PHARMACY 10-2273
  • Facility Address: 5323 E COURT STREET NORTH
    BURTON, MI
    ZIP 48509
  • Facility Phone: 810 744-2984
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN F. GRANT
  • NPI Number: 1639196843
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2149453
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2273
Street 5323 E COURT STREET NORTH
City BURTON
State MI
ZIP 48509
Phone 810 744-2984
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 RYAN F. GRANT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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