23D2053821 CLIA NUMBER - WALGREENS #02581

Laboratory Demographics

  • CLIA Code: 23D2053821
  • Facility Name: WALGREENS #02581
  • Facility Address: 1601 KALAMAZOO AVENUE SE
    GRAND RAPIDS, MI
    ZIP 49507
  • Facility Phone: 616 247-5521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHADWICK W. HOWARD
  • NPI Number: 1710992011
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2053821
LAB Type Pharmacy
Facility Name WALGREENS #02581
Street 1601 KALAMAZOO AVENUE SE
City GRAND RAPIDS
State MI
ZIP 49507
Phone 616 247-5521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director CHADWICK W. HOWARD

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