23D2059224 CLIA NUMBER - WALGREENS #11887

Laboratory Demographics

  • CLIA Code: 23D2059224
  • Facility Name: WALGREENS #11887
  • Facility Address: 1141 N MC EWAN STREET
    CLARE, MI
    ZIP 48617
  • Facility Phone: 989 386-6197
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAREN KORSON
  • NPI Number: 1346404126
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2059224
LAB Type Pharmacy
Facility Name WALGREENS #11887
Street 1141 N MC EWAN STREET
City CLARE
State MI
ZIP 48617
Phone 989 386-6197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director KAREN KORSON

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