23D2032054 CLIA NUMBER - WALGREENS #11954

Laboratory Demographics

  • CLIA Code: 23D2032054
  • Facility Name: WALGREENS #11954
  • Facility Address: 802 E CLOVERLAND DRIVE
    IRONWOOD, MI
    ZIP 49938
  • Facility Phone: 906 932-4267
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENDA A. JAWORSKI
  • NPI Number: 1992962542
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2032054
LAB Type Pharmacy
Facility Name WALGREENS #11954
Street 802 E CLOVERLAND DRIVE
City IRONWOOD
State MI
ZIP 49938
Phone 906 932-4267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director BRENDA A. JAWORSKI

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