23D2058760 CLIA NUMBER - WALGREENS #04660

Laboratory Demographics

  • CLIA Code: 23D2058760
  • Facility Name: WALGREENS #04660
  • Facility Address: 2050 S ROCHESTER ROAD
    ROCHESTER HILLS, MI
    ZIP 48307
  • Facility Phone: 248 652-4429
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA GHAFARI
  • NPI Number: 1568479558
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2058760
LAB Type Pharmacy
Facility Name WALGREENS #04660
Street 2050 S ROCHESTER ROAD
City ROCHESTER HILLS
State MI
ZIP 48307
Phone 248 652-4429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Pharmacy
Lab Director MARIA GHAFARI

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