23D2059914 CLIA NUMBER - WALGREENS #06529

Laboratory Demographics

  • CLIA Code: 23D2059914
  • Facility Name: WALGREENS #06529
  • Facility Address: 29520 HARPER AVENUE
    SAINT CLAIR SHORES, MI
    ZIP 48081
  • Facility Phone: 586 447-3208
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW M. SURDUCAN
  • NPI Number: 1669487708
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2059914
LAB Type Pharmacy
Facility Name WALGREENS #06529
Street 29520 HARPER AVENUE
City SAINT CLAIR SHORES
State MI
ZIP 48081
Phone 586 447-3208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director MATTHEW M. SURDUCAN

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