23D2046495 CLIA NUMBER - WALGREENS #05032

Laboratory Demographics

  • CLIA Code: 23D2046495
  • Facility Name: WALGREENS #05032
  • Facility Address: 13601 W WARREN AVE
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 624-9530
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAHA S. AL HAJAJ
  • NPI Number: 1740295872
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2046495
LAB Type Pharmacy
Facility Name WALGREENS #05032
Street 13601 W WARREN AVE
City DEARBORN
State MI
ZIP 48126
Phone 313 624-9530
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 SARAHA S. AL HAJAJ

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