23D2011883 CLIA NUMBER - WALGREENS #05097

Laboratory Demographics

  • CLIA Code: 23D2011883
  • Facility Name: WALGREENS #05097
  • Facility Address: 4989 STATE ST
    SAGINAW, MI
    ZIP 48603
  • Facility Phone: 989 791-3088
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIAMOND ROBY
  • NPI Number: 1184639205
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2011883
LAB Type Pharmacy
Facility Name WALGREENS #05097
Street 4989 STATE ST
City SAGINAW
State MI
ZIP 48603
Phone 989 791-3088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director DIAMOND ROBY

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