23D2059912 CLIA NUMBER - WALGREENS #09079

Laboratory Demographics

  • CLIA Code: 23D2059912
  • Facility Name: WALGREENS #09079
  • Facility Address: 1615 N SAGINAW ROAD
    MIDLAND, MI
    ZIP 48640
  • Facility Phone: 989 832-2491
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AZFAR AKRAM
  • NPI Number: 1992710297
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2059912
LAB Type Pharmacy
Facility Name WALGREENS #09079
Street 1615 N SAGINAW ROAD
City MIDLAND
State MI
ZIP 48640
Phone 989 832-2491
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 AZFAR AKRAM

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This page was last updated on: 6/4/2025