23D2149459 CLIA NUMBER - WALMART PHARMACY #2558

Laboratory Demographics

  • CLIA Code: 23D2149459
  • Facility Name: WALMART PHARMACY #2558
  • Facility Address: 44575 MOUND ROAD
    STERLING HEIGHTS, MI
    ZIP 48314
  • Facility Phone: 586 323-2570
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MENA ARAMANOUS
  • NPI Number: 1568489789
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149459
LAB Type Pharmacy
Facility Name WALMART PHARMACY #2558
Street 44575 MOUND ROAD
City STERLING HEIGHTS
State MI
ZIP 48314
Phone 586 323-2570
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 MENA ARAMANOUS

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