23D2155618 CLIA NUMBER - WALMART SUPERCENTER

Laboratory Demographics

  • CLIA Code: 23D2155618
  • Facility Name: WALMART SUPERCENTER
  • Facility Address: 6020 B DRIVE NORTH
    BATTLE CREEK, MI
    ZIP 49014
  • Facility Phone: 269 979-4727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE E. CASTANEDA
  • NPI Number: 1093732208
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2155618
LAB Type Pharmacy
Facility Name WALMART SUPERCENTER
Street 6020 B DRIVE NORTH
City BATTLE CREEK
State MI
ZIP 49014
Phone 269 979-4727
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 KATIE E. CASTANEDA

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