23D2011295 CLIA NUMBER - WALGREENS #02023

Laboratory Demographics

  • CLIA Code: 23D2011295
  • Facility Name: WALGREENS #02023
  • Facility Address: 1285 N MONROE ST
    MONROE, MI
    ZIP 48162
  • Facility Phone: 734 457-2336
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY H. HAMMOUD
  • NPI Number: 1740697234
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011295
LAB Type Pharmacy
Facility Name WALGREENS #02023
Street 1285 N MONROE ST
City MONROE
State MI
ZIP 48162
Phone 734 457-2336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Pharmacy
Lab Director MARY H. HAMMOUD

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This page was last updated on: 6/4/2025