15D2187065 CLIA NUMBER - UNIVERSITY COMMONS PHARMACY

Laboratory Demographics

  • CLIA Code: 15D2187065
  • Facility Name: UNIVERSITY COMMONS PHARMACY
  • Facility Address: 6301 UNIVERSITY COMMONS STE 500
    SOUTH BEND, IN
    ZIP 46635
  • Facility Phone: 574 273-2000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAGHID KADI
  • NPI Number: 1306251061
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2187065
LAB Type Pharmacy
Facility Name UNIVERSITY COMMONS PHARMACY
Street 6301 UNIVERSITY COMMONS STE 500
City SOUTH BEND
State IN
ZIP 46635
Phone 574 273-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Pharmacy
Lab Director RAGHID KADI

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This page was last updated on: 9/29/2025