23D2155610 CLIA NUMBER - WALMART PHARMACY 10-1771

Laboratory Demographics

  • CLIA Code: 23D2155610
  • Facility Name: WALMART PHARMACY 10-1771
  • Facility Address: 1500 S CENTERVILLE ROAD
    STURGIS, MI
    ZIP 49091
  • Facility Phone: 269 651-9560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAULOMI PATEL
  • NPI Number: 1659398865
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2155610
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1771
Street 1500 S CENTERVILLE ROAD
City STURGIS
State MI
ZIP 49091
Phone 269 651-9560
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 PAULOMI PATEL

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