23D2059911 CLIA NUMBER - WALGREENS #01610

Laboratory Demographics

  • CLIA Code: 23D2059911
  • Facility Name: WALGREENS #01610
  • Facility Address: 21211 HARPER AVENUE
    SAINT CLAIR SHORES, MI
    ZIP 48080
  • Facility Phone: 586 776-7052
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY L. DAINTY
  • NPI Number: 1548275845
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2059911
LAB Type Pharmacy
Facility Name WALGREENS #01610
Street 21211 HARPER AVENUE
City SAINT CLAIR SHORES
State MI
ZIP 48080
Phone 586 776-7052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director KIMBERLY L. DAINTY

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