23D2041139 CLIA NUMBER - WALGREENS #05169

Laboratory Demographics

  • CLIA Code: 23D2041139
  • Facility Name: WALGREENS #05169
  • Facility Address: 1700 WEST RD
    TRENTON, MI
    ZIP 48183
  • Facility Phone: 734 675-2997
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: DIANE J. STEFFEN
  • NPI Number: 1568477693
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2041139
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #05169
Street 1700 WEST RD
City TRENTON
State MI
ZIP 48183
Phone 734 675-2997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Other - COVID-19 TEST SITE
Lab Director DIANE J. STEFFEN

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