23D2058780 CLIA NUMBER - WALGREENS 09125

Laboratory Demographics

  • CLIA Code: 23D2058780
  • Facility Name: WALGREENS 09125
  • Facility Address: 1280 WALTON BLVD
    ROCHESTER HILLS, MI
    ZIP 48307
  • Facility Phone: 248 608-0643
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID A. HAYWARD
  • NPI Number: 1235145822
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2058780
LAB Type Pharmacy
Facility Name WALGREENS 09125
Street 1280 WALTON BLVD
City ROCHESTER HILLS
State MI
ZIP 48307
Phone 248 608-0643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director DAVID A. HAYWARD

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