23D0961306 CLIA NUMBER - MISSION PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 23D0961306
  • Facility Name: MISSION PHARMACY LLC
  • Facility Address: 926 S MISSION STREET
    MOUNT PLEASANT, MI
    ZIP 48858
  • Facility Phone: (989) 773-8200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW LUNDAHL
  • NPI Number: 1417055567
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D0961306
LAB Type Pharmacy
Facility Name MISSION PHARMACY LLC
Street 926 S MISSION STREET
City MOUNT PLEASANT
State MI
ZIP 48858
Phone 9897738200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Pharmacy
Lab Director ANDREW LUNDAHL

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This page was last updated on: 5/15/2026