23D2011497 CLIA NUMBER - WALGREENS #01910

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Laboratory Demographics

CLIA Number: 23D2011497

Facility Name: WALGREENS #01910

Facility Address:
2321 E GRAND RIVER AVE
HOWELL, MI
ZIP 48843
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Facility Phone Number: 517 546-5716

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154336469

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	23D2011497
LAB Type	Pharmacy
Facility Name	WALGREENS #01910
Street	2321 E GRAND RIVER AVE
City	HOWELL
State	MI
ZIP	48843
Phone	517 546-5716
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024