23D2061290 CLIA NUMBER - WALGREENS #07854

Laboratory Demographics

  • CLIA Code: 23D2061290
  • Facility Name: WALGREENS #07854
  • Facility Address: 31415 FORD ROAD
    GARDEN CITY, MI
    ZIP 48135
  • Facility Phone: 734 367-0962
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FATEN J. SABBAGH
  • NPI Number: 1811902117
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2061290
LAB Type Pharmacy
Facility Name WALGREENS #07854
Street 31415 FORD ROAD
City GARDEN CITY
State MI
ZIP 48135
Phone 734 367-0962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director FATEN J. SABBAGH

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