23D2061604 CLIA NUMBER - WALGREENS #01265

Laboratory Demographics

  • CLIA Code: 23D2061604
  • Facility Name: WALGREENS #01265
  • Facility Address: 3221 FORT STREET
    WYANDOTTE, MI
    ZIP 48192
  • Facility Phone: 734 284-1733
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. SLEIMAN
  • NPI Number: 1376558668
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2061604
LAB Type Pharmacy
Facility Name WALGREENS #01265
Street 3221 FORT STREET
City WYANDOTTE
State MI
ZIP 48192
Phone 734 284-1733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Pharmacy
Lab Director MICHAEL A. SLEIMAN

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