23D2043408 CLIA NUMBER - WALGREENS #07369

Home > CLIA Lookup > 23D2043408

Laboratory Demographics

CLIA Number: 23D2043408

Facility Name: WALGREENS #07369

Facility Address:
2350 N U S HIGHWAY 31 N
TRAVERSE CITY, MI
ZIP 49686
Get Directions

Facility Phone Number: 231 938-7051

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922013069

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	23D2043408
LAB Type	Pharmacy
Facility Name	WALGREENS #07369
Street	2350 N U S HIGHWAY 31 N
City	TRAVERSE CITY
State	MI
ZIP	49686
Phone	231 938-7051
CertificateType	4
CertificateEffectiveDate	4/15/2023
CertificateExpirationDate	4/14/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024