23D2059229 CLIA NUMBER - WALGREENS # 15007

Laboratory Demographics

  • CLIA Code: 23D2059229
  • Facility Name: WALGREENS # 15007
  • Facility Address: 425 FULLER AVENUE N E
    GRAND RAPIDS, MI
    ZIP 49503
  • Facility Phone: 616 776-9925
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: BRANDON L. ALVES
  • NPI Number: 1174538284
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2059229
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS # 15007
Street 425 FULLER AVENUE N E
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 776-9925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director BRANDON L. ALVES

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