23D2053820 CLIA NUMBER - WALGREENS #07484

Laboratory Demographics

  • CLIA Code: 23D2053820
  • Facility Name: WALGREENS #07484
  • Facility Address: 1277 M-89
    PLAINWELL, MI
    ZIP 49080
  • Facility Phone: 269 685-5623
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN G. RAJTER
  • NPI Number: 1003821398
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director RYAN G. RAJTER

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