23D2060089 CLIA NUMBER - WALGREENS #07033

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Laboratory Demographics

CLIA Number: 23D2060089

Facility Name: WALGREENS #07033

Facility Address:
43250 VAN DYKE AVENUE
STERLING HEIGHTS, MI
ZIP 48314
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Facility Phone Number: 586 803-1602

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1639184922

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	23D2060089
LAB Type	Pharmacy
Facility Name	WALGREENS #07033
Street	43250 VAN DYKE AVENUE
City	STERLING HEIGHTS
State	MI
ZIP	48314
Phone	586 803-1602
CertificateType	4
CertificateEffectiveDate	9/8/2022
CertificateExpirationDate	9/7/2024
FacilityType	Waiver

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