CLIA lab

CLIA 23D2011290: Walgreens #04749

Lincoln Park, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D2011290 belongs to Walgreens #04749 in Lincoln Park, MI.

Certificate of Waiver, effective July 20, 2025, expires July 19, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 20, 2025
Certificate expiration
July 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 13, 2010
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
23D2011290
Lab name
Walgreens #04749
Address
1765 Fort St, Lincoln Park, MI 48146
Phone
(313) 928-8638
Fax
(313) 928-8947

Annual test volume the lab reported

Waived tests
12,775

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lincoln Park, MI

Related

Questions

What is the CLIA number for Walgreens #04749 in Lincoln Park?

23D2011290, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #04749 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2011290 expire?

The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.

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