23D2042385 CLIA NUMBER - WALGREENS #12533

Laboratory Demographics

  • CLIA Code: 23D2042385
  • Facility Name: WALGREENS #12533
  • Facility Address: 819 W MAIN STREET
    FREMONT, MI
    ZIP 49412
  • Facility Phone: 231 924-2360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANA L. STROOP
  • NPI Number: 1639327695
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2042385
LAB Type Pharmacy
Facility Name WALGREENS #12533
Street 819 W MAIN STREET
City FREMONT
State MI
ZIP 49412
Phone 231 924-2360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Pharmacy
Lab Director SHANA L. STROOP

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