23D2155603 CLIA NUMBER - WALMART PHARMACY 10-1642

Laboratory Demographics

  • CLIA Code: 23D2155603
  • Facility Name: WALMART PHARMACY 10-1642
  • Facility Address: 1680 PACKARD HIGHWAY
    CHARLOTTE, MI
    ZIP 48813
  • Facility Phone: 517 543-0700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RIELYN N. CASTLE
  • NPI Number: 1720005036
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2155603
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1642
Street 1680 PACKARD HIGHWAY
City CHARLOTTE
State MI
ZIP 48813
Phone 517 543-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Pharmacy
Lab Director RIELYN N. CASTLE

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