23D2040404 CLIA NUMBER - WALGREENS #07416

Laboratory Demographics

  • CLIA Code: 23D2040404
  • Facility Name: WALGREENS #07416
  • Facility Address: 1010 S STATE STREET
    BIG RAPIDS, MI
    ZIP 49307
  • Facility Phone: 231 592-0385
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARBARA J. RICHMOND
  • NPI Number: 1801801915
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2040404
LAB Type Pharmacy
Facility Name WALGREENS #07416
Street 1010 S STATE STREET
City BIG RAPIDS
State MI
ZIP 49307
Phone 231 592-0385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director BARBARA J. RICHMOND

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