23D2149455 CLIA NUMBER - WALMART PHARMACY 10-2338

Laboratory Demographics

  • CLIA Code: 23D2149455
  • Facility Name: WALMART PHARMACY 10-2338
  • Facility Address: 2640 CROSSING CIRCLE
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 933-7095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS DISBROW
  • NPI Number: 1184641391
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2149455
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2338
Street 2640 CROSSING CIRCLE
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 933-7095
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 TRAVIS DISBROW

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