CLIA lab
CLIA 23D2059916: Walgreens #10489
Prudenville, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2059916 belongs to Walgreens #10489 in Prudenville, MI.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 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
- 23D2059916
- Lab name
- Walgreens #10489
- Address
- 729 W Houghton Lake Drive, Prudenville, MI 48651
- Phone
- (989) 366-5324
- Fax
- (989) 366-9218
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 Prudenville, MI
- Denton Township AmbulanceCertificate of Waiver, Ambulance23D0997307
- East Bay Medical Center PCCertificate for Provider-Performed Microscopy Procedures, Other practitioner23D1019733
- Kronner PharmacyCertificate of Waiver, Pharmacy23D2199643
- Munson Healthcare GraylingCertificate for Provider-Performed Microscopy Procedures, Physician office23D0923772
Related
Questions
What is the CLIA number for Walgreens #10489 in Prudenville?
23D2059916, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #10489 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2059916 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.