23D0946718 CLIA NUMBER - MANISTIQUE PHARMACAUTICALS INC

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CLIA Record

Field Name Field Value
CLIA Number 23D0946718
LAB Type Pharmacy
Facility Name MANISTIQUE PHARMACAUTICALS INC
Street 211 S CEDAR STREET
City MANISTIQUE
State MI
ZIP 49854
Phone 9063415494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2026
Certificate Expiration Date 6/1/2028
Facility Type Pharmacy
Lab Director CHAD A. ROYER

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This page was last updated on: 6/29/2026