CLIA lab
CLIA 23D2136198: Walmart Pharmacy 10-2417
Petoskey, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2136198 belongs to Walmart Pharmacy 10-2417 in Petoskey, MI.
Certificate of Waiver, effective September 5, 2025, expires September 4, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2017
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2136198
- Lab name
- Walmart Pharmacy 10-2417
- Address
- 1850 Anderson Road, Petoskey, MI 49770
- Phone
- (231) 439-0071
- Fax
- (231) 439-0073
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bay Urgent Care and Family Practice PLLCCertificate of Waiver, Physician office23D2251883
- Bay View Obstetrics and GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office23D0958674
- Bayside Family & Sports MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office23D0955653
- Crooked Tree Wellness ClinicCertificate of Waiver, Other23D2271687
- Docs By the BayCertificate of Waiver, Physician office23D2322838
- Emmet County EMSCertificate of Waiver, Ambulance23D2084343
- Emmet County Sheriff's OfficeCertificate of Waiver, Other23D2154595
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-2417 in Petoskey?
23D2136198, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-2417 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2136198 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.