23D2061935 CLIA NUMBER - WALGREENS #07065

Laboratory Demographics

  • CLIA Code: 23D2061935
  • Facility Name: WALGREENS #07065
  • Facility Address: 3270 W SILVER LAKE ROAD
    FENTON, MI
    ZIP 48430
  • Facility Phone: 810 629-3134
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RHEA R. MUNGER
  • NPI Number: 1023023165
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2061935
LAB Type Pharmacy
Facility Name WALGREENS #07065
Street 3270 W SILVER LAKE ROAD
City FENTON
State MI
ZIP 48430
Phone 810 629-3134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director RHEA R. MUNGER

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