23D2011304 CLIA NUMBER - WALGREENS #04536

Laboratory Demographics

  • CLIA Code: 23D2011304
  • Facility Name: WALGREENS #04536
  • Facility Address: 1260 HILLTOP RD
    ST JOSEPH, MI
    ZIP 49085
  • Facility Phone: (269) 983-0315
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASMIN THIND
  • NPI Number: 1184639296
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011304
LAB Type Pharmacy
Facility Name WALGREENS #04536
Street 1260 HILLTOP RD
City ST JOSEPH
State MI
ZIP 49085
Phone 2699830315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2025
Certificate Expiration Date 10/27/2027
Facility Type Pharmacy
Lab Director JASMIN THIND

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This page was last updated on: 5/18/2026