23D2059228 CLIA NUMBER - WALGREENS #09124

Laboratory Demographics

  • CLIA Code: 23D2059228
  • Facility Name: WALGREENS #09124
  • Facility Address: 2270 UNION LAKE ROAD
    COMMERCE TOWNSHIP, MI
    ZIP 48382
  • Facility Phone: 248 363-0436
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMAD KABBOUT
  • NPI Number: 1184639486
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director AHMAD KABBOUT

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This page was last updated on: 6/4/2025