23D2059882 CLIA NUMBER - WALGREENS #05167

Laboratory Demographics

  • CLIA Code: 23D2059882
  • Facility Name: WALGREENS #05167
  • Facility Address: 416 S EUCLID AVENUE
    BAY CITY, MI
    ZIP 48706
  • Facility Phone: 989 671-0468
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT NICHOLS
  • NPI Number: 1538174651
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2059882
LAB Type Pharmacy
Facility Name WALGREENS #05167
Street 416 S EUCLID AVENUE
City BAY CITY
State MI
ZIP 48706
Phone 989 671-0468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director SCOTT NICHOLS

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