23D2036066 CLIA NUMBER - WALGREENS 09364

Laboratory Demographics

  • CLIA Code: 23D2036066
  • Facility Name: WALGREENS 09364
  • Facility Address: 2301 LUDINGTON ST
    ESCANABA, MI
    ZIP 49829
  • Facility Phone: 906 789-0382
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. HARRISON
  • NPI Number: 1447265749
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2036066
LAB Type Pharmacy
Facility Name WALGREENS 09364
Street 2301 LUDINGTON ST
City ESCANABA
State MI
ZIP 49829
Phone 906 789-0382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director MATTHEW J. HARRISON

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