23D2011506 CLIA NUMBER - WALGREENS #06369

Laboratory Demographics

  • CLIA Code: 23D2011506
  • Facility Name: WALGREENS #06369
  • Facility Address: 410 E JOLLY RD
    LANSING, MI
    ZIP 48910
  • Facility Phone: 517 882-2732
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDA A. BAYDOUN
  • NPI Number: 1114932258
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2011506
LAB Type Pharmacy
Facility Name WALGREENS #06369
Street 410 E JOLLY RD
City LANSING
State MI
ZIP 48910
Phone 517 882-2732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director LINDA A. BAYDOUN

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: 9/29/2025