23D2058753 CLIA NUMBER - WALGREENS #05322

Laboratory Demographics

  • CLIA Code: 23D2058753
  • Facility Name: WALGREENS #05322
  • Facility Address: 11635 E 13 MILE ROAD
    WARREN, MI
    ZIP 48093
  • Facility Phone: 586 446-0853
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD MUNIR
  • NPI Number: 1477568509
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2058753
LAB Type Pharmacy
Facility Name WALGREENS #05322
Street 11635 E 13 MILE ROAD
City WARREN
State MI
ZIP 48093
Phone 586 446-0853
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director MOHAMMAD MUNIR

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