23D2011890 CLIA NUMBER - WALGREENS #05171

Laboratory Demographics

  • CLIA Code: 23D2011890
  • Facility Name: WALGREENS #05171
  • Facility Address: 7110 DIXIE HWY
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: 248 922-1231
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SURINDER K. VERMA
  • NPI Number: 1598040271
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2011890
LAB Type Pharmacy
Facility Name WALGREENS #05171
Street 7110 DIXIE HWY
City CLARKSTON
State MI
ZIP 48346
Phone 248 922-1231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Pharmacy
Lab Director SURINDER K. VERMA

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