23D2059228 CLIA NUMBER - WALGREENS #09124

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Laboratory Demographics

CLIA Number: 23D2059228

Facility Name: WALGREENS #09124

Facility Address:
2270 UNION LAKE ROAD
COMMERCE TOWNSHIP, MI
ZIP 48382
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Facility Phone Number: 248 363-0436

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184639486

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	23D2059228
LAB Type	Pharmacy
Facility Name	WALGREENS #09124
Street	2270 UNION LAKE ROAD
City	COMMERCE TOWNSHIP
State	MI
ZIP	48382
Phone	248 363-0436
CertificateType	4
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024