23D2040399 CLIA NUMBER - WALGREENS #10803

Laboratory Demographics

  • CLIA Code: 23D2040399
  • Facility Name: WALGREENS #10803
  • Facility Address: 2425 44TH STREET SE
    KENTWOOD, MI
    ZIP 49512
  • Facility Phone: 616 455-5151
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ELTONA MONI
  • NPI Number: 1619982725
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2040399
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #10803
Street 2425 44TH STREET SE
City KENTWOOD
State MI
ZIP 49512
Phone 616 455-5151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director ELTONA MONI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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