23D2041145 CLIA NUMBER - WALGREENS #05168

Laboratory Demographics

  • CLIA Code: 23D2041145
  • Facility Name: WALGREENS #05168
  • Facility Address: 23007 TELEGRAPH ROAD
    FLAT ROCK, MI
    ZIP 48134
  • Facility Phone: 734 675-6663
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM T. HALES III
  • NPI Number: 1174538292
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2041145
LAB Type Pharmacy
Facility Name WALGREENS #05168
Street 23007 TELEGRAPH ROAD
City FLAT ROCK
State MI
ZIP 48134
Phone 734 675-6663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2023
Certificate Expiration Date 7/12/2025
Facility Type Pharmacy
Lab Director WILLIAM T. HALES III

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This page was last updated on: 6/4/2025