CLIA lab

CLIA 23D2011301: Walgreens #04255

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

CLIA number 23D2011301 belongs to Walgreens #04255 in Fraser, MI.

Certificate of Waiver, effective March 30, 2025, expires March 29, 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
March 30, 2025
Certificate expiration
March 29, 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
23D2011301
Lab name
Walgreens #04255
Address
31100 Groesbeck Hwy, Fraser, MI 48026
Phone
(586) 294-5729
Fax
(586) 294-8566

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.

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Related

Questions

What is the CLIA number for Walgreens #04255 in Fraser?

23D2011301, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #04255 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2011301 expire?

The CMS file lists March 29, 2027 as the certificate expiration date; the certificate took effect March 30, 2025.

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