CLIA lab

CLIA 23D2058759: Walgreens #05675

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

CLIA number 23D2058759 belongs to Walgreens #05675 in Lake Orion, MI.

Certificate of Waiver, effective April 19, 2025, expires April 18, 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
April 19, 2025
Certificate expiration
April 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 13, 2013
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
23D2058759
Lab name
Walgreens #05675
Address
450 N Park Blvd, Lake Orion, MI 48362
Phone
(248) 814-7315
Fax
(248) 814-7364

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 Lake Orion, MI

Related

Questions

What is the CLIA number for Walgreens #05675 in Lake Orion?

23D2058759, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #05675 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2058759 expire?

The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.

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