23D2012831 CLIA NUMBER - WALGREENS #05534

Laboratory Demographics

  • CLIA Code: 23D2012831
  • Facility Name: WALGREENS #05534
  • Facility Address: 6020 KALAMAZOO AVE SE
    KENTWOOD, MI
    ZIP 49508
  • Facility Phone: 616 698-9165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM ANDERT
  • NPI Number: 1700893799
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2012831
LAB Type Pharmacy
Facility Name WALGREENS #05534
Street 6020 KALAMAZOO AVE SE
City KENTWOOD
State MI
ZIP 49508
Phone 616 698-9165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Pharmacy
Lab Director WILLIAM ANDERT

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