23D2011502 CLIA NUMBER - WALGREENS #10359

Home > CLIA Lookup > 23D2011502

Laboratory Demographics

CLIA Number: 23D2011502

Facility Name: WALGREENS #10359

Facility Address:
17001 NEWBURGH RD
LIVONIA, MI
ZIP 48154
Get Directions

Facility Phone Number: 734 462-1707

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912912205

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	23D2011502
LAB Type	Pharmacy
Facility Name	WALGREENS #10359
Street	17001 NEWBURGH RD
City	LIVONIA
State	MI
ZIP	48154
Phone	734 462-1707
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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