23D2264599 CLIA NUMBER - WALGREENS #05398

Laboratory Demographics

  • CLIA Code: 23D2264599
  • Facility Name: WALGREENS #05398
  • Facility Address: 2170 WASHTENAW ROAD
    YPSILANTI, MI
    ZIP 48197
  • Facility Phone: 734 485-3899
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HARCHARAN KALSI
  • NPI Number: 1003821133
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2264599
LAB Type Pharmacy
Facility Name WALGREENS #05398
Street 2170 WASHTENAW ROAD
City YPSILANTI
State MI
ZIP 48197
Phone 734 485-3899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Pharmacy
Lab Director HARCHARAN KALSI

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