23D2061252 CLIA NUMBER - WALGREENS #13150

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Laboratory Demographics

CLIA Number: 23D2061252

Facility Name: WALGREENS #13150

Facility Address:
812 E SAGINAW HIGHWAY
GRAND LEDGE, MI
ZIP 48837
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Facility Phone Number: 517 627-1240

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407144751

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	23D2061252
LAB Type	Pharmacy
Facility Name	WALGREENS #13150
Street	812 E SAGINAW HIGHWAY
City	GRAND LEDGE
State	MI
ZIP	48837
Phone	517 627-1240
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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