23D2041143 CLIA NUMBER - WALGREENS #12820

Laboratory Demographics

  • CLIA Code: 23D2041143
  • Facility Name: WALGREENS #12820
  • Facility Address: 1330 W CHICAGO BLVD
    TECUMSEH, MI
    ZIP 49286
  • Facility Phone: 517 423-3560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA CLIPPARD
  • NPI Number: 1760610646
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2041143
LAB Type Pharmacy
Facility Name WALGREENS #12820
Street 1330 W CHICAGO BLVD
City TECUMSEH
State MI
ZIP 49286
Phone 517 423-3560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director REBECCA CLIPPARD

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