23D2042388 CLIA NUMBER - WALGREENS #10288

Laboratory Demographics

  • CLIA Code: 23D2042388
  • Facility Name: WALGREENS #10288
  • Facility Address: 196 W CARLETON ROAD
    HILLSDALE, MI
    ZIP 49242
  • Facility Phone: 517 439-4255
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA S. WITTINGEN
  • NPI Number: 1942371463
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2042388
LAB Type Pharmacy
Facility Name WALGREENS #10288
Street 196 W CARLETON ROAD
City HILLSDALE
State MI
ZIP 49242
Phone 517 439-4255
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 AMANDA S. WITTINGEN

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