23D2033831 CLIA NUMBER - WALGREENS #12776

Laboratory Demographics

  • CLIA Code: 23D2033831
  • Facility Name: WALGREENS #12776
  • Facility Address: 1115 W WASHINGTON STREET
    MARQUETTE, MI
    ZIP 49855
  • Facility Phone: 906 226-1046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATELIN K. KENNEDY
  • NPI Number: 1437385143
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2033831
LAB Type Pharmacy
Facility Name WALGREENS #12776
Street 1115 W WASHINGTON STREET
City MARQUETTE
State MI
ZIP 49855
Phone 906 226-1046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director KATELIN K. KENNEDY

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