23D2061267 CLIA NUMBER - WALGREENS #07208

Laboratory Demographics

  • CLIA Code: 23D2061267
  • Facility Name: WALGREENS #07208
  • Facility Address: 23111 LAHSER ROAD
    SOUTHFIELD, MI
    ZIP 48033
  • Facility Phone: 248 945-9216
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TALANKI N. PRASANNA
  • NPI Number: 1457368474
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2061267
LAB Type Pharmacy
Facility Name WALGREENS #07208
Street 23111 LAHSER ROAD
City SOUTHFIELD
State MI
ZIP 48033
Phone 248 945-9216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director TALANKI N. PRASANNA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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