23D2083980 CLIA NUMBER - WALGREENS #15535

Laboratory Demographics

  • CLIA Code: 23D2083980
  • Facility Name: WALGREENS #15535
  • Facility Address: 126 N BROADWAY
    HASTINGS, MI
    ZIP 49058
  • Facility Phone: 269 908-4067
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARRIE E. ARENS
  • NPI Number: 1033526959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2083980
LAB Type Pharmacy
Facility Name WALGREENS #15535
Street 126 N BROADWAY
City HASTINGS
State MI
ZIP 49058
Phone 269 908-4067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director CARRIE E. ARENS

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