23D2011885 CLIA NUMBER - WALGREENS #07247

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Laboratory Demographics

CLIA Number: 23D2011885

Facility Name: WALGREENS #07247

Facility Address:
1309 S MISSION ST
MOUNT PLEASANT, MI
ZIP 48858
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Facility Phone Number: 989 775-8098

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972740181

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	23D2011885
LAB Type	Pharmacy
Facility Name	WALGREENS #07247
Street	1309 S MISSION ST
City	MOUNT PLEASANT
State	MI
ZIP	48858
Phone	989 775-8098
CertificateType	4
CertificateEffectiveDate	8/10/2023
CertificateExpirationDate	8/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024