23D2012833 CLIA NUMBER - WALGREENS #02714

Laboratory Demographics

  • CLIA Code: 23D2012833
  • Facility Name: WALGREENS #02714
  • Facility Address: 4425 DIVISION AVE S
    WYOMING, MI
    ZIP 49548
  • Facility Phone: 616 531-9494
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: UYEN NGUYEN
  • NPI Number: 1659388643
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2012833
LAB Type Pharmacy
Facility Name WALGREENS #02714
Street 4425 DIVISION AVE S
City WYOMING
State MI
ZIP 49548
Phone 616 531-9494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director UYEN NGUYEN

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