23D2012841 CLIA NUMBER - WALGREENS #10080

Laboratory Demographics

  • CLIA Code: 23D2012841
  • Facility Name: WALGREENS #10080
  • Facility Address: 7920 SHAVER RD
    PORTAGE, MI
    ZIP 49024
  • Facility Phone: 269 324-9988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN WERNER
  • NPI Number: 1083629190
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2012841
LAB Type Pharmacy
Facility Name WALGREENS #10080
Street 7920 SHAVER RD
City PORTAGE
State MI
ZIP 49024
Phone 269 324-9988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director MEGAN WERNER

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