23D2059223 CLIA NUMBER - WALGREENS #04835

Laboratory Demographics

  • CLIA Code: 23D2059223
  • Facility Name: WALGREENS #04835
  • Facility Address: 1000 S GETTY STREET
    MUSKEGON, MI
    ZIP 49442
  • Facility Phone: 231 767-9212
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. SANDER
  • NPI Number: 1366457475
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2059223
LAB Type Pharmacy
Facility Name WALGREENS #04835
Street 1000 S GETTY STREET
City MUSKEGON
State MI
ZIP 49442
Phone 231 767-9212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director JENNIFER L. SANDER

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