CLIA lab

CLIA 23D2149435: Walmart 10-1790

Monroe, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D2149435 belongs to Walmart 10-1790 in Monroe, MI.

Certificate of Waiver, effective June 5, 2026, expires June 4, 2028.

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
June 5, 2026
Certificate expiration
June 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 5, 2018
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
23D2149435
Lab name
Walmart 10-1790
Address
2150 N Telegraph Road, Monroe, MI 48162
Phone
(734) 242-2385
Fax
(734) 242-2389

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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Related

Questions

What is the CLIA number for Walmart 10-1790 in Monroe?

23D2149435, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart 10-1790 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2149435 expire?

The CMS file lists June 4, 2028 as the certificate expiration date; the certificate took effect June 5, 2026.

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