23D2062335 CLIA NUMBER - WALGREENS #04933

Laboratory Demographics

  • CLIA Code: 23D2062335
  • Facility Name: WALGREENS #04933
  • Facility Address: 8850 NEWBURGH ROAD
    LIVONIA, MI
    ZIP 48150
  • Facility Phone: 734 524-9663
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALI BEYDOUN
  • NPI Number: 1477560464
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2062335
LAB Type Pharmacy
Facility Name WALGREENS #04933
Street 8850 NEWBURGH ROAD
City LIVONIA
State MI
ZIP 48150
Phone 734 524-9663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Pharmacy
Lab Director ALI BEYDOUN

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