23D2011503 CLIA NUMBER - WALGREENS #05425

Laboratory Demographics

  • CLIA Code: 23D2011503
  • Facility Name: WALGREENS #05425
  • Facility Address: 13550 W 9 MILE RD
    OAK PARK, MI
    ZIP 48237
  • Facility Phone: 248 548-4251
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VALANTINA N. MAIZO
  • NPI Number: 1649285776
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2011503
LAB Type Pharmacy
Facility Name WALGREENS #05425
Street 13550 W 9 MILE RD
City OAK PARK
State MI
ZIP 48237
Phone 248 548-4251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2023
Certificate Expiration Date 7/28/2025
Facility Type Pharmacy
Lab Director VALANTINA N. MAIZO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025