23D2011493 CLIA NUMBER - WALGREENS #03426

Laboratory Demographics

  • CLIA Code: 23D2011493
  • Facility Name: WALGREENS #03426
  • Facility Address: 3610 PLAINFIELD AVE NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Facility Phone: 616 365-1221
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN STEELE
  • NPI Number: 1932114071
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011493
LAB Type Pharmacy
Facility Name WALGREENS #03426
Street 3610 PLAINFIELD AVE NE
City GRAND RAPIDS
State MI
ZIP 49525
Phone 616 365-1221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Pharmacy
Lab Director BRIAN STEELE

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