23D2060521 CLIA NUMBER - WALGREENS #10251

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Laboratory Demographics

CLIA Number: 23D2060521

Facility Name: WALGREENS #10251

Facility Address:
1410 S U S HIGHWAY 27
SAINT JOHNS, MI
ZIP 48879
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Facility Phone Number: 989 224-2052

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497879225

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	23D2060521
LAB Type	Pharmacy
Facility Name	WALGREENS #10251
Street	1410 S U S HIGHWAY 27
City	SAINT JOHNS
State	MI
ZIP	48879
Phone	989 224-2052
CertificateType	4
CertificateEffectiveDate	9/2/2023
CertificateExpirationDate	9/1/2025
FacilityType	Waiver

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