23D2039855 CLIA NUMBER - WALGREENS #05969

Laboratory Demographics

  • CLIA Code: 23D2039855
  • Facility Name: WALGREENS #05969
  • Facility Address: 29030 NORTHWESTERN HWY
    SOUTHFIELD, MI
    ZIP 48034
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: HEATHER L. KAUFFMAN
  • NPI Number: 1255760740
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2039855
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #05969
Street 29030 NORTHWESTERN HWY
City SOUTHFIELD
State MI
ZIP 48034
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director HEATHER L. KAUFFMAN

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