23D2061280 CLIA NUMBER - WALGREENS #05170

Laboratory Demographics

  • CLIA Code: 23D2061280
  • Facility Name: WALGREENS #05170
  • Facility Address: 8720 W GRAND RIVER AVENUE
    BRIGHTON, MI
    ZIP 48116
  • Facility Phone: 810 225-4530
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RHEA R. MUNGER
  • NPI Number: 1740295880
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2061280
LAB Type Pharmacy
Facility Name WALGREENS #05170
Street 8720 W GRAND RIVER AVENUE
City BRIGHTON
State MI
ZIP 48116
Phone 810 225-4530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2023
Certificate Expiration Date 8/8/2025
Facility Type Pharmacy
Lab Director RHEA R. MUNGER

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This page was last updated on: 6/4/2025