23D2061938 CLIA NUMBER - WALGREENS #04932

Laboratory Demographics

  • CLIA Code: 23D2061938
  • Facility Name: WALGREENS #04932
  • Facility Address: 4010 E 13 MILE ROAD
    WARREN, MI
    ZIP 48092
  • Facility Phone: 586 575-9346
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EUNHEE KIM
  • NPI Number: 1366457491
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2061938
LAB Type Pharmacy
Facility Name WALGREENS #04932
Street 4010 E 13 MILE ROAD
City WARREN
State MI
ZIP 48092
Phone 586 575-9346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director EUNHEE KIM

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