23D2059881 CLIA NUMBER - WALGREENS #12971

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Laboratory Demographics

CLIA Number: 23D2059881

Facility Name: WALGREENS #12971

Facility Address:
571 S MAIN STREET
LAPEER, MI
ZIP 48446
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Facility Phone Number: 810 538-0014

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386956860

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	23D2059881
LAB Type	Pharmacy
Facility Name	WALGREENS #12971
Street	571 S MAIN STREET
City	LAPEER
State	MI
ZIP	48446
Phone	810 538-0014
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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