23D2049268 CLIA NUMBER - WALGREENS 09450

Laboratory Demographics

  • CLIA Code: 23D2049268
  • Facility Name: WALGREENS 09450
  • Facility Address: 830 N VAN DYKE ROAD
    BAD AXE, MI
    ZIP 48413
  • Facility Phone: 989 269-6973
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW W. COPELAND
  • NPI Number: 1629083928
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2049268
LAB Type Pharmacy
Facility Name WALGREENS 09450
Street 830 N VAN DYKE ROAD
City BAD AXE
State MI
ZIP 48413
Phone 989 269-6973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director ANDREW W. COPELAND

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