23D2011502 CLIA NUMBER - WALGREENS #10359

Laboratory Demographics

  • CLIA Code: 23D2011502
  • Facility Name: WALGREENS #10359
  • Facility Address: 17001 NEWBURGH RD
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 734 462-1707
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CURTIS A. GREEN
  • NPI Number: 1912912205
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011502
LAB Type Pharmacy
Facility Name WALGREENS #10359
Street 17001 NEWBURGH RD
City LIVONIA
State MI
ZIP 48154
Phone 734 462-1707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director CURTIS A. GREEN

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This page was last updated on: 6/4/2025