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23D2053820 CLIA NUMBER - WALGREENS #07484

Laboratory Demographics

CLIA Number: 23D2053820

Facility Name: WALGREENS #07484

Facility Address:
1277 M-89
PLAINWELL, MI
ZIP 49080
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Facility Phone Number: 269 685-5623

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1003821398

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 23D2053820
LAB Type Pharmacy
Facility Name WALGREENS #07484
Street 1277 M-89
City PLAINWELL
State MI
ZIP 49080
Phone 269 685-5623
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

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