23D2061937 CLIA NUMBER - WALGREENS #11456

Laboratory Demographics

  • CLIA Code: 23D2061937
  • Facility Name: WALGREENS #11456
  • Facility Address: 25700 FORD ROAD
    DEARBORN HEIGHTS, MI
    ZIP 48127
  • Facility Phone: 313 359-9640
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONA H. HOURANI
  • NPI Number: 1225284524
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2061937
LAB Type Pharmacy
Facility Name WALGREENS #11456
Street 25700 FORD ROAD
City DEARBORN HEIGHTS
State MI
ZIP 48127
Phone 313 359-9640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2023
Certificate Expiration Date 4/20/2025
Facility Type Pharmacy
Lab Director MONA H. HOURANI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025