23D2011512 CLIA NUMBER - WALGREENS #06279

Laboratory Demographics

  • CLIA Code: 23D2011512
  • Facility Name: WALGREENS #06279
  • Facility Address: 1991 E APPLE AVE
    MUSKEGON, MI
    ZIP 49442
  • Facility Phone: 231 773-1540
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANN M. HARRIS
  • NPI Number: 1225045206
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2011512
LAB Type Pharmacy
Facility Name WALGREENS #06279
Street 1991 E APPLE AVE
City MUSKEGON
State MI
ZIP 49442
Phone 231 773-1540
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 ANN M. HARRIS

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