23D2041132 CLIA NUMBER - WALGREENS #15690

Laboratory Demographics

  • CLIA Code: 23D2041132
  • Facility Name: WALGREENS #15690
  • Facility Address: 760 W MICHIGAN AVE
    KALAMAZOO, MI
    ZIP 49007
  • Facility Phone: 269 344-1185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABILLO FON
  • NPI Number: 1700891819
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2041132
LAB Type Pharmacy
Facility Name WALGREENS #15690
Street 760 W MICHIGAN AVE
City KALAMAZOO
State MI
ZIP 49007
Phone 269 344-1185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Pharmacy
Lab Director ABILLO FON

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