23D2058752 CLIA NUMBER - WALGREENS 04795

Laboratory Demographics

  • CLIA Code: 23D2058752
  • Facility Name: WALGREENS 04795
  • Facility Address: 25016 GRATIOT AVENUE
    EASTPOINTE, MI
    ZIP 48021
  • Facility Phone: 586 498-8426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAVNEET KAUR
  • NPI Number: 1457366577
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2058752
LAB Type Pharmacy
Facility Name WALGREENS 04795
Street 25016 GRATIOT AVENUE
City EASTPOINTE
State MI
ZIP 48021
Phone 586 498-8426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director SHAVNEET KAUR

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