23D2213743 CLIA NUMBER - WALGREENS #15951

Laboratory Demographics

  • CLIA Code: 23D2213743
  • Facility Name: WALGREENS #15951
  • Facility Address: 13020 S U S HIGHWAY 27
    DEWITT, MI
    ZIP 48820
  • Facility Phone: 517 624-5028
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARA E. PLINE
  • NPI Number: 1124557053
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2213743
LAB Type Pharmacy
Facility Name WALGREENS #15951
Street 13020 S U S HIGHWAY 27
City DEWITT
State MI
ZIP 48820
Phone 517 624-5028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Pharmacy
Lab Director MARA E. PLINE

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