23D2149512 CLIA NUMBER - WALMART PHARMACY 10-5064

Laboratory Demographics

  • CLIA Code: 23D2149512
  • Facility Name: WALMART PHARMACY 10-5064
  • Facility Address: 6065 GULL ROAD
    KALAMAZOO, MI
    ZIP 49048
  • Facility Phone: 269 373-1367
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAHAR SEYEDIN
  • NPI Number: 1801813027
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2149512
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5064
Street 6065 GULL ROAD
City KALAMAZOO
State MI
ZIP 49048
Phone 269 373-1367
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 SAHAR SEYEDIN

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