23D2036062 CLIA NUMBER - WALGREENS 05481

Laboratory Demographics

  • CLIA Code: 23D2036062
  • Facility Name: WALGREENS 05481
  • Facility Address: 710 SPRING STREET
    PETOSKEY, MI
    ZIP 49770
  • Facility Phone: 231 348-5556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MORGAN E. BYRON
  • NPI Number: 1629083738
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2036062
LAB Type Pharmacy
Facility Name WALGREENS 05481
Street 710 SPRING STREET
City PETOSKEY
State MI
ZIP 49770
Phone 231 348-5556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director MORGAN E. BYRON

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