23D2061271 CLIA NUMBER - WALGREENS #05707

Laboratory Demographics

  • CLIA Code: 23D2061271
  • Facility Name: WALGREENS #05707
  • Facility Address: 3040 E MICHIGAN AVENUE
    JACKSON, MI
    ZIP 49202
  • Facility Phone: 517 768-9002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANNE BERRY
  • NPI Number: 1437166428
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2061271
LAB Type Pharmacy
Facility Name WALGREENS #05707
Street 3040 E MICHIGAN AVENUE
City JACKSON
State MI
ZIP 49202
Phone 517 768-9002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director JULIANNE BERRY

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