23D2042396 CLIA NUMBER - WALGREENS #10351

Laboratory Demographics

  • CLIA Code: 23D2042396
  • Facility Name: WALGREENS #10351
  • Facility Address: 3596 ALPINE AVENUE N W
    WALKER, MI
    ZIP 49544
  • Facility Phone: 616 647-2260
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAYLEY HERZOG
  • NPI Number: 1053501577
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2042396
LAB Type Pharmacy
Facility Name WALGREENS #10351
Street 3596 ALPINE AVENUE N W
City WALKER
State MI
ZIP 49544
Phone 616 647-2260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director HAYLEY HERZOG

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