23D2042395 CLIA NUMBER - WALGREENS #10129

Laboratory Demographics

  • CLIA Code: 23D2042395
  • Facility Name: WALGREENS #10129
  • Facility Address: 8364 BYRON CENTER AVENUE S W
    BYRON CENTER, MI
    ZIP 49315
  • Facility Phone: 616 878-0497
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIRANDA N. BLAINE
  • NPI Number: 1336154640
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2042395
LAB Type Pharmacy
Facility Name WALGREENS #10129
Street 8364 BYRON CENTER AVENUE S W
City BYRON CENTER
State MI
ZIP 49315
Phone 616 878-0497
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 MIRANDA N. BLAINE

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