23D2040396 CLIA NUMBER - WALGREENS #07660

Laboratory Demographics

  • CLIA Code: 23D2040396
  • Facility Name: WALGREENS #07660
  • Facility Address: 1220 N MITCHELL STREET
    CADILLAC, MI
    ZIP 49601
  • Facility Phone: 231 775-9166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB P. COCHRANE
  • NPI Number: 1730194028
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2040396
LAB Type Pharmacy
Facility Name WALGREENS #07660
Street 1220 N MITCHELL STREET
City CADILLAC
State MI
ZIP 49601
Phone 231 775-9166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director JACOB P. COCHRANE

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