23D2061252 CLIA NUMBER - WALGREENS #13150

Laboratory Demographics

  • CLIA Code: 23D2061252
  • Facility Name: WALGREENS #13150
  • Facility Address: 812 E SAGINAW HIGHWAY
    GRAND LEDGE, MI
    ZIP 48837
  • Facility Phone: 517 627-1240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY B. GORDENEER
  • NPI Number: 1407144751
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director MARY B. GORDENEER

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