23D2061273 CLIA NUMBER - WALGREENS #05503

Laboratory Demographics

  • CLIA Code: 23D2061273
  • Facility Name: WALGREENS #05503
  • Facility Address: 3425 E SAGINAW STREET
    LANSING, MI
    ZIP 48912
  • Facility Phone: 517 351-0249
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHESTER A. TALASKI
  • NPI Number: 1376558403
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2061273
LAB Type Pharmacy
Facility Name WALGREENS #05503
Street 3425 E SAGINAW STREET
City LANSING
State MI
ZIP 48912
Phone 517 351-0249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director CHESTER A. TALASKI

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