23D2043410 CLIA NUMBER - WALGREENS #10186

Laboratory Demographics

  • CLIA Code: 23D2043410
  • Facility Name: WALGREENS #10186
  • Facility Address: 1029 M 37 S
    TRAVERSE CITY, MI
    ZIP 49685
  • Facility Phone: 231 943-3147
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINA RIOFLORIDO
  • NPI Number: 1356394209
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2043410
LAB Type Pharmacy
Facility Name WALGREENS #10186
Street 1029 M 37 S
City TRAVERSE CITY
State MI
ZIP 49685
Phone 231 943-3147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Pharmacy
Lab Director GINA RIOFLORIDO

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This page was last updated on: 6/4/2025