23D2042403 CLIA NUMBER - WALGREENS #09132

Laboratory Demographics

  • CLIA Code: 23D2042403
  • Facility Name: WALGREENS #09132
  • Facility Address: 1420 W WASHINGTON STREET
    GREENVILLE, MI
    ZIP 48838
  • Facility Phone: 616 754-3255
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACK RAZMUS
  • NPI Number: 1457366759
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2042403
LAB Type Pharmacy
Facility Name WALGREENS #09132
Street 1420 W WASHINGTON STREET
City GREENVILLE
State MI
ZIP 48838
Phone 616 754-3255
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 JACK RAZMUS

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