23D2042384 CLIA NUMBER - WALGREENS #07461

Laboratory Demographics

  • CLIA Code: 23D2042384
  • Facility Name: WALGREENS #07461
  • Facility Address: 1771 HOLTON ROAD
    NORTH MUSKEGON, MI
    ZIP 49445
  • Facility Phone: 231 744-1391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESLIE N. HOLMAN
  • NPI Number: 1831104975
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2042384
LAB Type Pharmacy
Facility Name WALGREENS #07461
Street 1771 HOLTON ROAD
City NORTH MUSKEGON
State MI
ZIP 49445
Phone 231 744-1391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director LESLIE N. HOLMAN

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