23D2053083 CLIA NUMBER - OPTI MED PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2053083
  • Facility Name: OPTI MED PHARMACY
  • Facility Address: 6480 TECHNOLOGY SUITE A
    KALAMAZOO, MI
    ZIP 49009
  • Facility Phone: 269 337-6368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW J. REEVES
  • NPI Number: 1508465865
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2053083
LAB Type Pharmacy
Facility Name OPTI MED PHARMACY
Street 6480 TECHNOLOGY SUITE A
City KALAMAZOO
State MI
ZIP 49009
Phone 269 337-6368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Pharmacy
Lab Director ANDREW J. REEVES

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