23D2061272 CLIA NUMBER - WALGREENS #05841

Laboratory Demographics

  • CLIA Code: 23D2061272
  • Facility Name: WALGREENS #05841
  • Facility Address: 3404 S MARTIN LUTHER KING JR BLVD
    LANSING, MI
    ZIP 48910
  • Facility Phone: 517 393-5784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSE M. NYAKUNDI
  • NPI Number: 1669483806
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2061272
LAB Type Pharmacy
Facility Name WALGREENS #05841
Street 3404 S MARTIN LUTHER KING JR BLVD
City LANSING
State MI
ZIP 48910
Phone 517 393-5784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director ROSE M. NYAKUNDI

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