23D2059521 CLIA NUMBER - WALGREENS #10079

Laboratory Demographics

  • CLIA Code: 23D2059521
  • Facility Name: WALGREENS #10079
  • Facility Address: 1171 E SHERMAN BLVD
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 231 733-8465
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN B. HENDERSON
  • NPI Number: 1336226935
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2059521
LAB Type Pharmacy
Facility Name WALGREENS #10079
Street 1171 E SHERMAN BLVD
City MUSKEGON
State MI
ZIP 49444
Phone 231 733-8465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director SUSAN B. HENDERSON

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