23D2041138 CLIA NUMBER - WALGREENS #04631

Home > CLIA Lookup > 23D2041138

Laboratory Demographics

CLIA Number: 23D2041138

Facility Name: WALGREENS #04631

Facility Address:
32732 MICHIGAN AVE
WAYNE, MI
ZIP 48184
Get Directions

Facility Phone Number: 734 595-9956

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902811029

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	23D2041138
LAB Type	Pharmacy
Facility Name	WALGREENS #04631
Street	32732 MICHIGAN AVE
City	WAYNE
State	MI
ZIP	48184
Phone	734 595-9956
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024