23D2011298 CLIA NUMBER - WALGREENS #04608

Laboratory Demographics

  • CLIA Code: 23D2011298
  • Facility Name: WALGREENS #04608
  • Facility Address: 1045 S GRATIOT AVE
    CLINTON TOWNSHIP, MI
    ZIP 48036
  • Facility Phone: 586 954-4905
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY D. BROWN
  • NPI Number: 1629083746
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2011298
LAB Type Pharmacy
Facility Name WALGREENS #04608
Street 1045 S GRATIOT AVE
City CLINTON TOWNSHIP
State MI
ZIP 48036
Phone 586 954-4905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director GARY D. BROWN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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