23D2036119 CLIA NUMBER - WALGREENS #10405

Laboratory Demographics

  • CLIA Code: 23D2036119
  • Facility Name: WALGREENS #10405
  • Facility Address: 2101 ASHMUN STREET
    SAULT SAINTE MARIE, MI
    ZIP 49783
  • Facility Phone: 906 632-5135
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LACEY SOLLOWAY
  • NPI Number: 1811051188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2036119
LAB Type Pharmacy
Facility Name WALGREENS #10405
Street 2101 ASHMUN STREET
City SAULT SAINTE MARIE
State MI
ZIP 49783
Phone 906 632-5135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director LACEY SOLLOWAY

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