23D2040400 CLIA NUMBER - WALGREENS #07952

Laboratory Demographics

  • CLIA Code: 23D2040400
  • Facility Name: WALGREENS #07952
  • Facility Address: 2450 S STATE ROAD
    IONIA, MI
    ZIP 48846
  • Facility Phone: (616) 522-9175
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY A. BURROW
  • NPI Number: 1902811201
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2040400
LAB Type Pharmacy
Facility Name WALGREENS #07952
Street 2450 S STATE ROAD
City IONIA
State MI
ZIP 48846
Phone 6165229175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director AMY A. BURROW

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This page was last updated on: 5/15/2026