23D2149507 CLIA NUMBER - WALMART PHARMACY 10-5097

Laboratory Demographics

  • CLIA Code: 23D2149507
  • Facility Name: WALMART PHARMACY 10-5097
  • Facility Address: 5650 BAY ROAD
    SAGINAW, MI
    ZIP 48609
  • Facility Phone: 989 790-3990
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY R. STAJDL
  • NPI Number: 1174540397
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149507
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5097
Street 5650 BAY ROAD
City SAGINAW
State MI
ZIP 48609
Phone 989 790-3990
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 JEREMY R. STAJDL

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