23D2058755 CLIA NUMBER - WALGREENS #04452

Laboratory Demographics

  • CLIA Code: 23D2058755
  • Facility Name: WALGREENS #04452
  • Facility Address: 51008 GRATIOT AVENUE
    CHESTERFIELD, MI
    ZIP 48051
  • Facility Phone: 586 948-0119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARETT G. PALMER
  • NPI Number: 1649285768
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2058755
LAB Type Pharmacy
Facility Name WALGREENS #04452
Street 51008 GRATIOT AVENUE
City CHESTERFIELD
State MI
ZIP 48051
Phone 586 948-0119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Pharmacy
Lab Director JARETT G. PALMER

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This page was last updated on: 3/20/2025