23D2060728 CLIA NUMBER - WALGREENS #10250

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Laboratory Demographics

CLIA Number: 23D2060728

Facility Name: WALGREENS #10250

Facility Address:
1420 WRIGHT AVENUE
ALMA, MI
ZIP 48801
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Facility Phone Number: 989 463-2704

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467502781

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	23D2060728
LAB Type	Pharmacy
Facility Name	WALGREENS #10250
Street	1420 WRIGHT AVENUE
City	ALMA
State	MI
ZIP	48801
Phone	989 463-2704
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

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