23D2061282 CLIA NUMBER - WALGREENS #04367

Laboratory Demographics

  • CLIA Code: 23D2061282
  • Facility Name: WALGREENS #04367
  • Facility Address: 8706 N TELEGRAPH ROAD
    DEARBORN HEIGHTS, MI
    ZIP 48127
  • Facility Phone: 313 724-9078
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD B. JAWAD
  • NPI Number: 1811902935
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2061282
LAB Type Pharmacy
Facility Name WALGREENS #04367
Street 8706 N TELEGRAPH ROAD
City DEARBORN HEIGHTS
State MI
ZIP 48127
Phone 313 724-9078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Pharmacy
Lab Director MUHAMMAD B. JAWAD

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