23D2011887 CLIA NUMBER - WALGREENS #06559

Laboratory Demographics

  • CLIA Code: 23D2011887
  • Facility Name: WALGREENS #06559
  • Facility Address: 931 S SAGINAW RD
    MIDLAND, MI
    ZIP 48640
  • Facility Phone: 989 631-0910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENDAN G. BALLARD
  • NPI Number: 1104833128
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011887
LAB Type Pharmacy
Facility Name WALGREENS #06559
Street 931 S SAGINAW RD
City MIDLAND
State MI
ZIP 48640
Phone 989 631-0910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director BRENDAN G. BALLARD

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