23D2011511 CLIA NUMBER - WALGREENS #05315

Laboratory Demographics

  • CLIA Code: 23D2011511
  • Facility Name: WALGREENS #05315
  • Facility Address: 840 W SHERMAN BLVD
    MUSKEGON, MI
    ZIP 49441
  • Facility Phone: 231 759-8587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA ALLORE
  • NPI Number: 1548275654
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011511
LAB Type Pharmacy
Facility Name WALGREENS #05315
Street 840 W SHERMAN BLVD
City MUSKEGON
State MI
ZIP 49441
Phone 231 759-8587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director SAMANTHA ALLORE

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