23D2042401 CLIA NUMBER - WALGREENS #11417

Laboratory Demographics

  • CLIA Code: 23D2042401
  • Facility Name: WALGREENS #11417
  • Facility Address: 3284 COLBY ROAD
    WHITEHALL, MI
    ZIP 49461
  • Facility Phone: 231 893-1361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDAN K. SEEGER
  • NPI Number: 1497947758
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2042401
LAB Type Pharmacy
Facility Name WALGREENS #11417
Street 3284 COLBY ROAD
City WHITEHALL
State MI
ZIP 49461
Phone 231 893-1361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director JORDAN K. SEEGER

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