23D2011500 CLIA NUMBER - WALGREENS #06550

Laboratory Demographics

  • CLIA Code: 23D2011500
  • Facility Name: WALGREENS #06550
  • Facility Address: 44300 FORD RD
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 459-3875
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALI BEYDOUN
  • NPI Number: 1588679625
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011500
LAB Type Pharmacy
Facility Name WALGREENS #06550
Street 44300 FORD RD
City CANTON
State MI
ZIP 48187
Phone 734 459-3875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Pharmacy
Lab Director ALI BEYDOUN

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