23D2149481 CLIA NUMBER - WALMART PHARMACY 10-2912

Laboratory Demographics

  • CLIA Code: 23D2149481
  • Facility Name: WALMART PHARMACY 10-2912
  • Facility Address: 7555 TELEGRAPH ROAD
    TAYLOR, MI
    ZIP 48180
  • Facility Phone: (313) 292-5014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA PETERS
  • NPI Number: 1730106956
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149481
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2912
Street 7555 TELEGRAPH ROAD
City TAYLOR
State MI
ZIP 48180
Phone 3132925014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2026
Certificate Expiration Date 6/4/2028
Facility Type Pharmacy
Lab Director AMANDA PETERS

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This page was last updated on: 5/18/2026