23D2011513 CLIA NUMBER - WALGREENS #07874

Laboratory Demographics

  • CLIA Code: 23D2011513
  • Facility Name: WALGREENS #07874
  • Facility Address: 3900 N US HIGHWAY 31 S
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 922-9277
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: RENE WEATHERS
  • NPI Number: 1144236522
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011513
LAB Type Other - COVID TESTING
Facility Name WALGREENS #07874
Street 3900 N US HIGHWAY 31 S
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 922-9277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Other - COVID TESTING
Lab Director RENE WEATHERS

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